[0002] All documents cited in this disclosure are incorporated herein by reference in their
entireties.
TECHNICAL FIELD
[0003] This disclosure relates to solid formulations of enzalutamide. More particularly,
this disclosure relates to solid formulations comprising amorphous enzalutamide, and
to pharmaceutical compositions comprising a solid dispersion containing enzalutamide
and at least one polymer. Furthermore, this disclosure relates to methods for manufacturing
such formulations and compositions, and to their use.
BACKGROUND
[0004] Enzalutamide is an androgen receptor signaling inhibitor. The chemical name is 4-13-[4-cyano-3-(trifluoromethyl)phenyl]-5,5-dimethyl-4-oxo-2-sulfanylideneimidazolidin-1-yl}-2-fluoro-
N-methylbenzamide. The structural formula is:

[0005] Enzalutamide is used as an agent for treating castration-resistant prostate cancer.
See, e.g., US 7,709,517. Enzalutamide is provided commercially as a soft capsule (brand name "XTANDI
®") filled with a liquid comprising 40 mg of enzalutamide per one capsule and pharmaceutical
excipients. The daily dosage is 160 mg, and a patient therefore needs to take four
capsules daily. Among other things, a suitable single tablet of reasonable size comprising
the prescribed amount of enzalutamide and having suitable and advantageous solubility
and/or dissolution stability and absorption would be advantageous as a suitable alternative
to soft capsules.
[0006] The patent literature reports a sparingly soluble compound held on a gel-forming
water-soluble polymer such as hydroxypropyl methylcellulose or hydroxypropylcellulose,
as a solid dispersion, wherein the composition contains a salt substance to improve
a disintegration time and dissolution profile and the like.
See, e.g., US2002/0031547. Use of hydroxypropylmethylcellulose acetate succinate in a pharmaceutical composition
comprising a sparingly soluble compound, prepared by a spray drying method, also has
been reported to improve aqueous solubility and/or bioavailability.
See, e.g., US2002/0009494. Combining drugs with solubilizing polymers does not always improve bioavailability
for a low-solubility drugs, however. Solubilization of a specific drug depends on
its chemical structure and physical properties; therefore, whether any particular
polymer will solubilize a specific drug is not necessarily predictable. It is often
difficult and time-consuming to select polymers which achieve improved solubilization,
because the drug-polymer interaction is poorly understood. For example, addition of
polymers may actually speed dissolution of a drug, rather than provide enhanced concentration.
BRIEF DESCRIPTION OF THE DRAWINGS
[0007]
FIG. 1. PXRD Diffractograms of amorphous enzalutamide, three spray-dried dispersions
of enzalutamide with concentration-enhancing polymers, and crystalline enzalutamide.
See Example 3.
FIG. 2. Scanning Electron Micrograph (SEM) images of amorphous enzalutamide (100%A
Spray-dried) and spray-dried dispersions (SDDs) comprising enzalutamide and HPMCAS
or PVPVA. Before (Initial) and after 1 day exposure to a 50°C/75%RH environment. See
Example 6.
FIG. 3 is a dissolution profile of the solid dispersions obtained by Example 17 (1:3),
18 (1:2), 19 (1:1.5), 20 (1 :1), 21 (1:0.67) and 22 (1:5) in Example 25.
FIG. 4 is a dissolution profile of the tablets obtained by Example 16 (1:3), 18 (1:2),
and 21 (1:0.67) in Example 25.
FIG. 5 is a dissolution profile of the initial tablet obtained by Example 17 and the
tablet stored at 40°C and 75% relative humidity for 1 month in Example 26.
FIG. 6 is an X-ray diffraction spectrum of the solid dispersions prepared in Example
16 (1:3), 18 (1:2), 22 (1:5) and 23 (1:3) and crystalline drug substance obtained
by measuring it immediately after its preparation.
FIG. 7 is an X-ray diffraction spectrum of the solid dispersion which was prepared
in Example 17 and stored at 40°C and 75% relative humidity for 1 month in Example
29.
DETAILED DESCRIPTION
[0008] Enzalutamide is an androgen receptor signaling inhibitor. The chemical name is 4-{3-[4-cyano-3-(trifluoromethyl)phenyl]-5,5-dimethyl-4-oxo-2-sulfanylideneimidazolidin-1-yl}-2-fluoro-
N-methylbenzamide. The structural formula is:

[0009] Enzalutamide is used as an agent for treating castration-resistant prostate cancer
who have received docetaxel therapy; enzalutamide also is disclosed for treating breast
cancer, prostate cancer, benign prostate hyperplasia and ovarian cancer;
See, e.g., U.S. Patent 7,709,517.
[0010] The present disclosure provides a solid dispersion having the properties such as
improvement solubility and absorption of enzalutamide, and a pharmaceutical composition
containing the solid dispersion which has dissolution stability.
[0011] Further, the present disclosure provides a method for making pharmaceutical composition
which has dissolution stability of enzalutamide.
[0012] According to the present disclosure, (1) a pharmaceutical composition which improves
solubility and absorption of enzalutamide, (2) a pharmaceutical composition which
has rapid disintegrating property and dispersibility of enzalutamide when said pharmaceutical
composition (tablet and the like)is used, and (3) a process of manufacturing the pharmaceutical
composition which has said effect, can be provided.
[0013] These dosage forms provide unusually large enhancements in aqueous concentration
in an environment of use. These compositions also provide the opportunity to dose
the entire daily therapeutic dose of enzalutamide in a single dosage unit, by improving
the oral bioavailability of the drug.
Amorphous enzalutamide
[0014] In some embodiments, enzalutamide is amorphous (
i.e., in a non-crystalline state). Amorphous enzalutamide dissolves more quickly and to
a greater extent than crystalline enzalutamide in an aqueous use environment, such
as an aqueous dissolution medium of an
in vitro dissolution test (
e.g., phosphate buffered saline or model fasted duodenal fluid or simulated gastric fluid)
or the
in vivo environment of the stomach or small intestine. This enhanced dissolution results
in higher enzalutamide oral bioavailability, compared to crystalline drug. An example
of a crystalline form of enzalutamide is Form A, characterized by the powder x-ray
diffraction pattern designated 'Bulk Crystalline Drug' in FIG. 1.
[0015] In some embodiments, enzalutamide is greater than 80% amorphous (
i.e., containing less than 20% crystalline enzalutamide). In some embodiments, enzalutamide
is greater than 90% amorphous (
i.e., containing less than 10% crystalline enzalutamide). In some embodiments, enzalutamide
is greater than 95% amorphous (
i.e., containing less than 5% crystalline enzalutamide). In some embodiments, enzalutamide
exhibits no crystalline character when measured by powder x-ray diffraction, by low
angle x-ray scattering, by
13C-NMR, or by
19F-NMR.
[0016] Amorphous enzalutamide may be prepared by any known means, including spray-drying,
hot melt extrusion, and precipitation from solution on addition of a non-solvent.
Pharmaceutical Compositions
[0017] The exact amount (effective dose) of enzalutamide will vary from subject to subject,
depending on, for example, the species, age, weight and general or clinical condition
of the subject, the severity or mechanism of any disorder being treated, the particular
agent or vehicle used, the method and scheduling of administration, and the like.
[0018] The particular mode of administration and the dosage regimen will be selected by
the attending clinician, taking into account the particulars of the case (e.g., the
subject, the disease, the disease state involved, and whether the treatment is prophylactic).
Treatment may involve daily or multi- daily doses of compound(s) over a period of
a few days to months, or even years.
[0019] In general, however, a suitable dose will be in the range of from about 0.001 to
about 100 mg/kg, e.g., from about 0.01 to about 100 mg/kg of body weight per day,
such as above about 0.1 mg per kilogram, or in a range of from about 1 to about 10
mg per kilogram body weight of the recipient per day. For example, a suitable dose
may be about 1 mg/kg, 10 mg/kg, or 50 mg/kg of body weight per day.
[0020] Enzalutamide conveniently administered in unit dosage form; for example, containing
0.05 to 10000 mg, 0.5 to 10000 mg, 5 to 1000 mg, 10 to 200 mg, or 40 to 160 mg of
enzalutamide per unit dosage form.
[0021] Enzalutamide may conveniently be presented in a single dose or as divided doses administered
at appropriate intervals, for example, as two, three, four or more sub-doses per day.
The sub-dose itself may be further divided, e.g., into a number of discrete loosely
spaced administrations; such as multiple inhalations from an insufflator.
[0022] In some embodiments, compositions comprise amorphous enzalutamide and a concentration-enhancing
polymer. In some embodiments, compositions comprise amorphous enzalutamide and more
than one concentration-enhancing polymer.
[0023] Amorphous enzalutamide and a concentration-enhancing polymer may be physically mixed,
that is the two materials, as separate powders, may be blended by methods known in
the pharmaceutical arts, including dry-blending, dry-granulation, and wet granulation.
[0024] In some embodiments, compositions comprise solid amorphous dispersions of enzalutamide
and a concentration-enhancing polymer. In some embodiments, at least a major portion
of the enzalutamide in the composition is amorphous. As used herein, the term "a major
portion" of the enzalutamide means that at least 60% of the enzalutamide in the composition
is in the amorphous form, rather than the crystalline form. In some embodiments, the
enzalutamide in the dispersion is substantially amorphous. As used herein, "substantially
amorphous" means that the amount of the enzalutamide in crystalline form does not
exceed about 20%. In some embodiments, the enzalutamide in the dispersion is "almost
completely amorphous, meaning that the amount of enzalutamide in the crystalline form
does not exceed about 10%. Amounts of crystalline enzalutamide may be measured by
powder X-ray diffraction, low angle x-ray scattering, differential scanning calorimetry
(DSC), solid state 19F-NMR, solid state 13C-NMR, or any other standard quantitative
measurement.
[0025] Compositions may contain from about 1 to about 80 wt % enzalutamide, depending on
the dose of the drug and the effectiveness of the concentration-enhancing polymer.
Enhancement of aqueous enzalutamide concentrations and relative bioavailability are
typically best at low enzalutamide levels in the dispersion, typically less than about
75 wt %. In some embodiments, dispersions comprise greater than 20wt% and less than
75wt% enzalutamide. In some embodiments, dispersions comprise greater than 25wt% and
less than 75wt% enzalutamide. In some embodiments, dispersions comprise greater than
50wt% and less than 70wt% enzalutamide.
[0026] Amorphous enzalutamide can exist within the solid amorphous dispersion as a pure
phase, as a solid solution of enzalutamide homogeneously distributed throughout the
polymer, or any combination of these states or states that lie intermediate between
them.
[0027] In some embodiments, the dispersion is substantially homogeneous so that the amorphous
enzalutamide is dispersed as homogeneously as possible throughout the polymer. "Substantially
homogeneous" means that the fraction of enzalutamide that is present in relatively
pure amorphous domains within the solid dispersion is relatively small, on the order
of less than 20%, and in some embodiments, less than 10% of the total amount of enzalutamide.
[0028] In some embodiments, the solid amorphous dispersion may have some enzalutamide-rich
domains. In some embodiments, the dispersion itself has a single glass transition
temperature (Tg) which demonstrates that the dispersion is substantially homogeneous.
This contrasts with a simple physical mixture of pure amorphous enzalutamide particles
and pure amorphous polymer particles which generally displays two distinct Tgs, one
that of the enzalutamide and one that of the polymer. Tg as used herein is the characteristic
temperature where a glassy material, upon gradual heating, undergoes a relatively
rapid (e.g., 10 to 100 seconds) physical change from a glass state to a rubber state.
The Tg of an amorphous material such as a polymer, drug or dispersion can be measured
by several techniques, including by a dynamic mechanical analyzer (DMA), a dilatometer,
dielectric analyzer, and by a differential scanning calorimeter (DSC). The exact values
measured by each technique can vary somewhat but usually fall within 10° to 30°C of
each other. Regardless of the technique used, when an amorphous dispersion exhibits
a single Tg, this indicates that the dispersion is substantially homogenous.
[0029] Dispersions that are substantially homogeneous generally are more physically stable
and have improved concentration-enhancing properties and, in turn, improved bioavailability,
relative to nonhomogeneous dispersions.
[0030] Compositions comprising the enzalutamide and a concentration-enhancing polymer provide
enhanced concentration of the dissolved enzalutamide in
in vitro dissolution tests. It has been determined that enhanced drug concentration in
in vitro dissolution tests in Model Fasted Duodenal (MFD) solution (MFDS) or Phosphate Buffered
Saline (PBS) is a good indicator of
in vivo performance and bioavailability. An appropriate PBS solution is an aqueous solution
comprising 20 mM sodium phosphate (Na2HPO4), 47 mM potassium phosphate (KH2PO4), 87
mM NaCl, and 0.2 mM KCl, adjusted to pH 6.5 with NaOH. An appropriate MFD solution
is the same PBS solution wherein additionally is present 7.3 mM sodium taurocholic
acid and 1.4 mM 1-palmitoyl-2-oleyl-sn-glycero-3-phosphocholine. A composition can
be dissolution-tested by adding it to MFD or PBS solution and agitating to promote
dissolution. Generally, the amount of composition added to the solution in such a
test is an amount that, if all the drug in the composition dissolved, would produce
an enzalutamide concentration that is at least about 2-fold and, in some embodiments,
at least 5-fold the equilibrium solubility of the crystalline enzalutamide alone in
the test solution.
[0031] In some embodiments, compositions provide a Maximum Drug Concentration (MDC) that
is at least about 2-fold the maximum concentration of a control composition comprising
an equivalent quantity of crystalline enzalutamide but free from the concentration-enhancing
polymer, during the first 90 minutes after dosing the dispersion into the
in vitro medium. In other words, if the maximum concentration provided by the control composition
is 10 µg/mL, then a composition provides an MDC of at least about 20 µg/mL. The comparison
composition is conventionally crystalline enzalutamide. In some embodiments, the MDC
of enzalutamide achieved with the compositions is at least about 5-fold the maximum
concentration of the control composition. In some embodiments, the MDC of enzalutamide
achieved with the compositions is at least about 10-fold the maximum concentration
of the control composition.
[0032] In some embodiments, compositions, when tested in the
in vitro test described above, exhibit a enzalutamide concentration one hour after reaching
C
max which is at least 80% of the C
max concentration, where Cmax is the maximum enzalutamide concentration achieved in the
in vitro test.
[0033] In some embodiments, compositions provide in an aqueous use environment a enzalutamide
concentration versus time Area Under The Curve (AUC
90), for any period of at least 90 minutes between the time of introduction into the
use environment and about 270 minutes following introduction to the use environment,
that is at least 2-fold the AUC
90 of a control composition comprising an equivalent quantity of undispersed crystalline
enzalutamide. In some embodiments, the compositions provide in an aqueous use environment
a concentration versus time AUC
90, for any period of at least 90 minutes between the time of introduction into the
use environment and about 270 minutes following introduction to the use environment,
that is at least about 5-fold, in some embodiments at least about 10-fold, that of
a control composition as described above. Such large enhancements in aqueous concentration
versus time AUC
90 values are surprising given the extremely low aqueous solubility and hydrophobicity
of enzalutamide.
[0034] In some embodiments, compositions meet both the C
max and AUC
90 criteria when tested
in vitro. The
in vitro test to evaluate enhanced drug concentration in aqueous solution can be conducted
by (1) adding with agitation a sufficient quantity of control composition, that is,
the crystalline enzalutamide alone, to the
in vitro test medium, typically MFD or PBS solution, to determine the maximum concentration
of the enzalutamide achieved under the conditions of the test; (2) adding with agitation
a sufficient quantity of test composition (e.g., the enzalutamide and polymer) in
an equivalent test medium, such that if all the enzalutamide dissolved, the theoretical
concentration of enzalutamide would exceed the observed maximum concentration of enzalutamide
by a factor of about 20; and (3) comparing the measured MDC and/or aqueous concentration
versus time AUC
90 of the test composition in the test medium with the maximum concentration, and/or
the aqueous concentration versus time AUC
90 of the control composition. In conducting such a dissolution test, the amount of
test composition or control composition used is an amount such that if all of the
enzalutamide dissolved, the test enzalutamide concentration would be at least about
20-fold that of the control enzalutamide concentration.
[0035] The concentration of dissolved enzalutamide is typically measured as a function of
time by sampling the test medium and plotting enzalutamide concentration in the test
medium vs. time so that the MDC can be ascertained. The MDC is taken to be the maximum
value of dissolved enzalutamide measured over the duration of the test. The aqueous
concentration of the enzalutamide versus time AUC
90 is calculated by integrating the concentration versus time curve over any 90-minute
time period between the time of introduction of the composition into the aqueous use
environment (time equals zero) and 270 minutes following introduction to the use environment
(time equals 270 minutes). Typically, when the composition reaches its MDC rapidly,
in less than about 30 minutes, the time interval used to calculate AUC
90 is from time equals zero to time equals 90 minutes. However, if the AUC
90 over any 90-minute time period described above of a composition meets this criterion,
it is encompassed within the compositions described in this disclosure. The time period
270 min is chosen because of its physiological relevance. Drug absorption in mammals
generally occurs in the small intestine, and the small intestinal transit time in
humans is approximately 4.5 hr, or 270 min.
[0036] In the
in vivo situation, for example after oral dosing to a human, it is important that undissolved
enzalutamide/polymer dispersion be capable of dissolving and resupplying the gastrointestinal
fluid with dissolved drug as drug is removed from the system by absorption through
the gastrointestinal wall into the bloodstream. The capacity of a dispersion to carry
on this resupply function may be tested
in vitro in a so-called "membrane test." In some embodiments, enzalutamide/polymer dispersions
have high capacity to support transmembrane flux in the
in vitro membrane test.
[0037] In some embodiments, when dosed orally to a human or other mammal, compositions provide
an area under the plasma enzalutamide concentration versus time curve (AUC) that is
at least about 1 .25-fold that observed when a control composition comprising an equivalent
quantity of crystalline drug is dosed. It is noted that such compositions can also
be said to have a relative bioavailability of at least about 1.25. In some embodiments,
compositions dosed orally to a human or other animal provide a plasma enzalutamide
AUC that is at least about 2-fold that observed when a control composition comprising
an equivalent quantity of crystalline drug is dosed. In some embodiments, the
in vivo AUC is AUC
0-7days, as described below. Thus, the compositions can be evaluated in either
in vitro or
in vivo tests, or both.
[0038] Relative bioavailability of enzalutamide in the dispersions can be tested
in vivo in animals or humans using conventional methods for making such a determination.
An
in vivo test, such as a crossover pharmacokinetic study, may be used to determine whether
a composition of enzalutamide and concentration-enhancing polymer (or a composition
comprised of amorphous enzalutamide without a concentration-enhancing polymer) provides
an enhanced relative bioavailability compared with a control composition comprised
of crystalline enzalutamide but no polymer as described above. In an
in vivo crossover study a "test composition" of enzalutamide and polymer is dosed to half
a group of test subjects and, after an appropriate washout period (at least 42 days)
the same subjects are dosed with a "control composition" that comprises an equivalent
quantity of crystalline enzalutamide with no concentration-enhancing polymer present.
The other half of the group is dosed with the control composition first, followed
by the test composition. The relative bioavailability is measured as the area under
the plasma drug concentration versus time curve (AUC) determined for the test group
divided by the plasma AUC provided by the control composition. In some embodiments,
this test/control ratio is determined for each subject, and then the ratios are averaged
over all subjects in the study.
In vivo determinations of AUC can be made by plotting the plasma concentration of drug along
the ordinate (y-axis) against time along the abscissa (x-axis), and using the trapezoidal
rule method.
[0039] Thus, as noted above, one embodiment is one in which the relative bioavailability
of the test composition is at least about 1.25 relative to a control composition comprised
of crystalline enzalutamide but with no concentration-enhancing polymer as described
above. (That is, the
in vivo AUC provided by the test composition is at least about 1.25-fold the
in vivo AUC provided by the control composition.) In some embodiments, the relative bioavailability
of the test composition is at least about 2, relative to a control composition composed
of crystalline enzalutamide but with no concentration-enhancing polymer present, as
described above. The determination of AUCs is a well-known procedure and is described,
for example, in
Welling, "Pharmacokinetics Processes and Mathematics," ACS Monograph 185 (1986).
[0040] To carry out the
in vivo AUC measurements for enzalutamide, the enzalutamide test and control compositions
should be dosed at a 160 mg dose to a cohort of at least 24 subjects in the fasted
state. Blood samples should be collected at 0 time (pre-dose), and at post-dose times
15, 30, and 45 minutes; and at 1, 2, 3, 4, 6, 8, and 12 hours; and at 0 and 12 hours
on day 2; and at 0 hours on days 3, 5, and 7 (where 0 hours on days 2, 3, 5, and 7
correspond to the time of day when dosing occurred on day 1).
[0041] Relative bioavailability is measured using AUC
0-7days. The absolute value of the AUC
0-7days is also used to determine if a dispersion formulation falls within compositions of
this disclosure;
i.e., pharmaceutical compositions comprising a solid amorphous dispersion of enzalutamide
and a concentration-enhancing polymer, which when dosed to a cohort of 24 or more
humans at a dose of 160 mg provides a mean area under the plasma enzalutamide concentration
vs. time curve from the time of dosing to 7 days after dosing, AUC
0-7days, which is greater than 150 µg•hr/ml. This constraint applies to other doses as well,
providing a plasma AUC
0-7days which is greater than (150 µg•hr/ml)/(160 mg) or more generally greater than 0.94
µg•hr/ml•mg, where mg refers to the weight of the enzalutamide dose.
[0042] Inspection of the plasma enzalutamide concentration versus time curves for the dosed
subjects will give the maximum enzalutamide concentration C
max achieved during the post-dose period. A mean C
max can be calculated for the cohort of subjects. This disclosure provides a pharmaceutical
composition comprising a solid amorphous dispersion of enzalutamide and a concentration-enhancing
polymer, said dispersion when dosed to a cohort of 24 or more humans at a dose of
160 mg providing a mean maximum plasma enzalutamide concentration C
max which is greater than 2 µg/ml, In some embodiments, greater than 2.5 µg/ml. This
constraint applies to other doses as well, providing a C
max greater than (2 µg/ml)/(160 mg), where mg refers to the weight of the enzalutamide
dose. In some embodiments, C
max is greater than (2.5 µg/ml)/(160 mg); this constraint can be expressed as providing
a C
max greater than 12.5 ng/ml•mg. In some embodiments, C
max is greater than 15.6 ng/ml•mg.
Concentration-Enhancing Polymers
[0043] Concentration-enhancing polymers suitable for use in the compositions are be inert,
in the sense that they do not chemically react with enzalutamide, are pharmaceutically
acceptable (
i.e. are non-toxic), and have at least some solubility in aqueous solution at physiologically
relevant pHs (
e.g. 1-8). The concentration-enhancing polymer can be neutral or ionizable, and should
have an aqueous-solubility of at least 0.1 mg/mL over at least a portion of the pH
range of 1-8.
[0044] A polymer is a "concentration-enhancing polymer" if it meets at least one, or, in
some embodiments, both, of the following conditions. The first condition is that the
concentration-enhancing polymer increases the
in vitro MDC of enzalutamide in the environment of use relative to a control composition consisting
of an equivalent amount of crystalline enzalutamide but no polymer. That is, once
the composition is introduced into an environment of use, the polymer increases the
aqueous concentration of enzalutamide relative to the control composition. In some
embodiments, the polymer increases the MDC of enzalutamide in aqueous solution by
at least 2-fold relative to a control composition; in some embodiments, by at least
5-fold; in some embodiments, by at least 10-fold. The second condition is that the
concentration-enhancing polymer increases the AUC
90 of the enzalutamide in the
in vitro environment of use relative to a control composition consisting of enzalutamide but
no polymer as described above. That is, in the environment of use, the composition
comprising the enzalutamide and the concentration-enhancing polymer provides an area
under the concentration versus time curve (AUC
90) for any period of 90 minutes between the time of introduction into the use environment
and about 270 minutes following introduction to the use environment that is at least
2-fold that of a control composition comprising an equivalent quantity of enzalutamide
but no polymer. In some embodiments, the AUC provided by the composition is at least
5-fold; in some embodiments, at least 10-fold that of the control composition.
[0045] Concentration-enhancing polymers may be cellulosic or non-cellulosic. The polymers
may be neutral or ionizable in aqueous solution. In some embodiments, polymers are
ionizable and cellulosic. In some embodiments, polymers are ionizable cellulosic polymers.
[0046] In some embodiments, polymers are "amphiphilic" in nature, meaning that the polymer
has hydrophobic and hydrophilic portions. The hydrophobic portion may comprise groups
such as aliphatic or aromatic hydrocarbon groups. The hydrophilic portion may comprise
either ionizable or non-ionizable groups that are capable of hydrogen bonding such
as hydroxyls, carboxylic acids, esters, amines or amides. The relative contents of
hydrophobic, ionizable hydrophilic, and non-ionizable hydrophilic groups in the polymer
can be optimized to provide improved functionality as a concentration-enhancing polymer.
[0047] Amphiphilic polymers may have relatively strong interactions with enzalutamide and
may promote the formation of various types of polymer/drug assemblies in the use environment.
In addition, the repulsion of the like charges of ionized groups of such polymers
may serve to limit the size of the polymer/drug assemblies to the nanometer or submicron
scale. For example, while not wishing to be bound by a particular theory, such polymer/drug
assemblies may comprise hydrophobic enzalutamide clusters surrounded by the polymer
with the polymer's hydrophobic regions turned inward towards the enzalutamide and
the hydrophilic regions of the polymer turned outward toward the aqueous environment.
Alternatively, the polar functional groups of the polymer may associate, for example,
via hydrogen bonds, with polar groups of the enzalutamide. In the case of ionizable
polymers, the hydrophilic regions of the polymer would include the ionized functional
groups. Such polymer/drug assemblies in solution may well resemble charged polymeric
micellar-like structures. In any case, regardless of the mechanism of action, the
inventors have observed that such amphiphilic polymers, particularly ionizable cellulosic
polymers, have been shown to improve the MDC and/or AUC
90 of enzalutamide in aqueous solution
in vitro relative to crystalline control compositions free from such polymers.
[0048] Surprisingly, such amphiphilic polymers can greatly enhance the maximum concentration
of enzalutamide obtained when enzalutamide is dosed to a use environment. In addition,
such amphiphilic polymers interact with enzalutamide to prevent the precipitation
or crystallization of the enzalutamide from solution despite its concentration being
substantially above its equilibrium concentration. In some embodiments, when the compositions
are solid amorphous dispersions of enzalutamide and the concentration-enhancing polymer,
the compositions provide a greatly enhanced drug concentration, particularly when
the dispersions are substantially homogeneous. The maximum drug concentration may
be 5-fold and often more than 10-fold the equilibrium concentration of the crystalline
enzalutamide. Such enhanced enzalutamide concentrations in turn lead to substantially
enhanced relative bioavailability for enzalutamide.
[0049] One class of polymers comprises neutral non-cellulosic polymers, including, but not
limited to, vinyl polymers and copolymers having substituents of hydroxyl, alkylacyloxy,
and cyclicamido polyvinyl alcohols that have at least a portion of their repeat units
in the unhydrolyzed (vinyl acetate) form; polyvinyl alcohol polyvinyl acetate copolymers;
polyvinyl pyrrolidone; polyvinylpyrrolidone vinyl acetate; and polyethylene polyvinyl
alcohol copolymers.
[0050] Another class of polymers comprises ionizable non-cellulosic polymers, including,
but not limited to, carboxylic acid-functionalized vinyl polymers, such as the carboxylic
acid functionalized polymethacrylates and carboxylic acid functionalized polyacrylates
such as the EUDRAGITS
® manufactured by Rohm Tech Inc., of Malden, Mass.; amine-functionalized polyacrylates
and polymethacrylates; proteins; and carboxylic acid functionalized starches such
as starch glycolate.
[0051] Non-cellulosic polymers that are amphiphilic are copolymers of a relatively hydrophilic
and a relatively hydrophobic monomer. Examples include acrylate and methacrylate copolymers.
Commercial grades of such copolymers include the EUDRAGITS
®, which are copolymers of methacrylates and acrylates; and graft copolymers of polyethyleneglycol,
polyvinylcaprolactam, and polyvinylacetate, one commercially available version of
a graft copolymer known as SOLUPLUS
®.
[0052] Other polymers comprise ionizable and neutral cellulosic polymers with at least one
ester- and/or ether-linked substituent, in which the polymer has a degree of substitution
of at least 0.1 for each substituent. In the polymer nomenclature used herein, ether-linked
substituents are recited prior to "cellulose" as the moiety attached to the ether
group; for example, "ethylbenzoic acid cellulose" has ethoxybenzoic acid substituents.
Analogously, ester-linked substituents are recited after "cellulose" as the carboxylate;
for example, "cellulose phthalate" has one carboxylic acid of each phthalate moiety
ester-linked to the polymer and the other carboxylic acid unreacted.
[0053] As used herein, a polymer name such as "cellulose acetate phthalate" (CAP) refers
to any of the family of cellulosic polymers that have acetate and phthalate groups
attached via ester linkages to a significant fraction of the cellulosic polymer's
hydroxyl groups. Generally, the degree of substitution of each substituent group can
range from 0.1 to 2.9 as long as the other criteria of the polymer are met. "Degree
of substitution" refers to the average number of the three hydroxyls per saccharide
repeat unit on the cellulose chain that have been substituted. For example, if all
of the hydroxyls on the cellulose chain have been phthalate substituted, the phthalate
degree of substitution is 3. Also included within each polymer family type are cellulosic
polymers that have additional substituents added in relatively small amounts that
do not substantially alter the performance of the polymer.
[0054] Amphiphilic cellulosics may be prepared by substituting the cellulose at any or all
of the 3 hydroxyl substituents present on each saccharide repeat unit with at least
one relatively hydrophobic substituent. Hydrophobic substituents may be essentially
any substituent that, if substituted to a high enough level or degree of substitution,
can render the cellulosic polymer essentially aqueous insoluble. Hydrophilic regions
of the polymer can be either those portions that are relatively unsubstituted, since
the unsubstituted hydroxyls are themselves relatively hydrophilic, or those regions
that are substituted with hydrophilic substituents. Examples of hydrophobic substitutents
include ether-linked alkyl groups such as methyl, ethyl, propyl, butyl, etc.; or ester-linked
alkyl groups such as acetate, propionate, butyrate, etc.; and ether- and/or ester-linked
aryl groups such as phenyl, benzoate, or phenylate. Hydrophilic groups include ether-
or ester-linked nonionizable groups such as the hydroxy alkyl substituents hydroxyethyl,
hydroxypropyl, and the alkyl ether groups such as ethoxyethoxy or methoxyethoxy. In
some embodiments, hydrophilic substituents are those that are ether- or ester-linked
ionizable groups such as carboxylic acids, thiocarboxylic acids, substituted phenoxy
groups, amines, phosphates or sulfonates.
[0055] One class of cellulosic polymers comprises neutral polymers, meaning that the polymers
are substantially non-ionizable in aqueous solution. Such polymers contain non-ionizable
substituents, which may be either ether-linked or ester-linked. Exemplary ether-linked
non-ionizable substituents include: alkyl groups, such as methyl, ethyl, propyl, butyl,
etc.; hydroxy alkyl groups such as hydroxymethyl, hydroxyethyl, hydroxypropyl, etc.;
and aryl groups such as phenyl. Exemplary ester-linked non-ionizable groups include:
alkyl groups, such as acetate, propionate, butyrate, etc.; and aryl groups such as
phenylate. However, when aryl groups are included, the polymer may need to include
a sufficient amount of a hydrophilic substituent so that the polymer has at least
some water solubility at any physiologically relevant pH of from 1 to 8.
[0056] Exemplary non-ionizable polymers that may be used as the polymer include:
hydroxypropyl methyl cellulose acetate, hydroxypropyl methyl cellulose,
hydroxypropyl cellulose, methyl cellulose, hydroxyethyl methyl cellulose,
hydroxyethyl cellulose acetate, and hydroxyethyl ethyl cellulose.
[0057] In some embodiments, neutral cellulosic polymers are those that are amphiphilic.
Exemplary polymers include hydroxypropyl methyl cellulose and hydroxypropyl cellulose
acetate, where cellulosic repeat units that have relatively high numbers of methyl
or acetate substituents relative to the unsubstituted hydroxyl or hydroxypropyl substituents
constitute hydrophobic regions relative to other repeat units on the polymer.
[0058] In some embodiments, cellulosic polymers comprise polymers that are at least partially
ionizable at physiologically relevant pH and include at least one ionizable substituent,
which may be either ether-linked or ester-linked. Exemplary ether-linked ionizable
substituents include: carboxylic acids, such as acetic acid, propionic acid, benzoic
acid, salicylic acid, alkoxybenzoic acids such as ethoxybenzoic acid or propoxybenzoic
acid, the various isomers of alkoxyphthalic acid such as ethoxyphthalic acid and ethoxyisophthalic
acid, the various isomers of alkoxynicotinic acid such as ethoxynicotinic acid, and
the various isomers of picolinic acid such as ethoxypicolinic acid, etc.; thiocarboxylic
acids, such as thioacetic acid; substituted phenoxy groups, such as hydroxyphenoxy,
etc.; amines, such as aminoethoxy, diethylaminoethoxy, trimethylaminoethoxy, etc.;
phosphates, such as phosphate ethoxy; and sulfonates, such as sulphonate ethoxy. Exemplary
ester linked ionizable substituents include: carboxylic acids, such as succinate,
citrate, phthalate, terephthalate, isophthalate, trimellitate, and the various isomers
of pyridinedicarboxylic acid, etc.; thiocarboxylic acids, such as thiosuccinate; substituted
phenoxy groups, such as amino salicylic acid; amines, such as natural or synthetic
amino acids, such as alanine or phenylalanine; phosphates, such as acetyl phosphate;
and sulfonates, such as acetyl sulfonate. For aromatic-substituted polymers to also
have the requisite aqueous solubility, it is also desirable that sufficient hydrophilic
groups such as hydroxypropyl or carboxylic acid functional groups be attached to the
polymer to render the polymer aqueous soluble at least at pH values where any ionizable
groups are ionized. In some cases, the aromatic group may itself be ionizable, such
as phthalate or trimellitate substituents.
[0059] Exemplary cellulosic polymers that are at least partially ionized at physiologically
relevant pHs include: hydroxypropyl methyl cellulose acetate succinate, hydroxypropyl
methyl cellulose succinate, hydroxypropyl cellulose acetate succinate, hydroxyethyl
methyl cellulose succinate, hydroxyethyl cellulose acetate succinate, hydroxypropyl
methyl cellulose phthalate, hydroxyethyl methyl cellulose acetate succinate, hydroxyethyl
methyl cellulose acetate phthalate, carboxyethyl cellulose, carboxymethyl cellulose,
cellulose acetate phthalate, methyl cellulose acetate phthalate, ethyl cellulose acetate
phthalate, hydroxypropyl cellulose acetate phthalate, hydroxypropyl methyl cellulose
acetate phthalate, hydroxypropyl cellulose acetate phthalate succinate, hydroxypropyl
methyl cellulose acetate succinate phthalate, hydroxypropyl methyl cellulose succinate
phthalate, cellulose propionate phthalate, hydroxypropyl cellulose butyrate phthalate,
cellulose acetate trimellitate, methyl cellulose acetate trimellitate, ethyl cellulose
acetate trimellitate, hydroxypropyl cellulose acetate trimellitate, hydroxypropyl
methyl cellulose acetate trimellitate, hydroxypropyl cellulose acetate trimellitate
succinate, cellulose propionate trimellitate, cellulose butyrate trimellitate, cellulose
acetate terephthalate, cellulose acetate isophthalate, cellulose acetate pyridinedicarboxylate,
salicylic acid cellulose acetate, hydroxypropyl salicylic acid cellulose acetate,
ethylbenzoic acid cellulose acetate, hydroxypropyl ethylbenzoic acid cellulose acetate,
ethyl phthalic acid cellulose acetate, ethyl nicotinic acid cellulose acetate, and
ethyl picolinic acid cellulose acetate.
[0060] A particularly desirable subset of cellulosic ionizable polymers are those that possess
both a carboxylic acid functional aromatic substituent and an alkylate substituent
and thus are amphiphilic. Exemplary polymers include cellulose acetate phthalate (CAP),
methyl cellulose acetate phthalate, ethyl cellulose acetate phthalate, hydroxypropyl
cellulose acetate phthalate, hydroxylpropyl methyl cellulose phthalate (HPMCP), hydroxypropyl
methyl cellulose acetate phthalate (HPMCAP), hydroxypropyl cellulose acetate phthalate
succinate, cellulose propionate phthalate, hydroxypropyl cellulose butyrate phthalate,
cellulose acetate trimellitate, methyl cellulose acetate trimellitate, ethyl cellulose
acetate trimellitate, hydroxypropyl cellulose acetate trimellitate, hydroxypropyl
methyl cellulose acetate trimellitate, hydroxypropyl cellulose acetate trimellitate
succinate, cellulose propionate trimellitate, cellulose butyrate trimellitate, cellulose
acetate terephthalate, cellulose acetate isophthalate, cellulose acetate pyridinedicarboxylate,
salicylic acid cellulose acetate, hydroxypropyl salicylic acid cellulose acetate,
ethylbenzoic acid cellulose acetate, hydroxypropyl ethylbenzoic acid cellulose acetate,
ethyl phthalic acid cellulose acetate, ethyl nicotinic acid cellulose acetate, and
ethyl picolinic acid cellulose acetate.
[0061] In some embodiments, cellulosic ionizable polymers are those that possess a nonaromatic
carboxylate substituent. Exemplary polymers include hydroxypropyl methyl cellulose
acetate succinate, hydroxypropyl methyl cellulose succinate, hydroxypropyl cellulose
acetate succinate, hydroxyethyl methyl cellulose acetate succinate, hydroxyethyl methyl
cellulose succinate, and hydroxyethyl cellulose acetate succinate.
[0062] While, as listed above, a wide range of polymers may be used to form dispersions
of enzalutamide, the inventors have found that relatively hydrophobic polymers have
shown the best performance as demonstrated by high MDC and AUC
90 in vitro dissolution values. In particular, cellulosic polymers that are aqueous insoluble
in their nonionized state but are aqueous soluble in their ionized state perform particularly
well. A particular subclass of such polymers are the so-called "enteric" polymers
which include, for example, hydroxypropylmethylcellulose acetate succinate (HPMCAS)
and certain grades of hydroxypropyl methyl cellulose acetate phthalate (HPMCAP) and
cellulose acetate trimellitate (CAT). Dispersions formed from such polymers generally
show very large enhancements in the maximum drug concentration achieved in dissolution
tests relative to that for a crystalline drug control.
[0063] In some embodiments, concentration-enhancing polymers for use in dispersions with
enzalutamide are hydroxypropylmethylcellulose acetate succinate (HPMCAS), hydroxypropylmethylcellulose
(HPMC), hydroxypropylmethylcellulosephthalate (HPMCP), polyvinylpyrrolidonevinylacetate
(PVP-VA), copolymers of methacrylic acid and methylmethacrylate (approximate 1:1 ratio)
available as EUDRAGIT L-100
®, and graft copolymers of polyethyleneglycol, polyvinylcaprolactam, and polyvinylacetate,
one commercially available version of a graft copolymer is known as SOLUPLUS
®.
[0064] In some embodiments, the enzalutamide/polymer dispersion, regardless of preparation
method, may contain one or more lipophilic microphase-forming materials, comprising
surfactants and lipidic mesophase-forming materials, or mixtures thereof. Examples
of lipophilic microphase-forming materials are sulfonated hydrocarbons and their salts,
such as dioctylsodiumsulfocuccinate and sodium laurylsulfate; polyoxyethylene sorbitan
fatty acid esters, such as polysorbate-80 and polysorbate-20; polyoxyethylene alkyl
ethers; polyoxyethylene castor oil; polyoxyethylene (-40 or - 60) hydrogenated castor
oil; tocopheryl polyethyleneglycol 1000 succinate; glyceryl polyethyleneglycol-8 caprylate/caprate;
polyoxyethylene-32 glyceryl laurate; polyoxyethylene fatty acid esters; polyoxyethylene-polyoxypropylene
block copolymers; polyglycolized glycerides; long-chain fatty acids such as palmitic
and stearic and oleic and ricinoleic acids; medium-chain and long-chain saturated
and unsaturated mono-, di- and tri-glycerides and mixtures thereof; fractionated coconut
oils; mono- and di-glycerides of capric and caprylic acids; bile salts such as sodium
taurocholate; and phospholipids such as egg lecithin, soy lecithin, 1,2-diacyl-sn-glycerophosphorylcholines
such as 1-palmitoyl-2-oleyl- sn-glycerophosphorylcholine, dipalmitoyl- sn-glycerophosphorylcholine,
distearoyl- sn-glycerophosphorylcholine, and 1-palmitoyl-2-stearoyl- sn-glycerophosphorylcholine.
[0065] In some embodiments, the enzalutamide/polymer dispersion contains less than 30% by
weight of lipophilic microphase-forming materials. In some embodiments, the enzalutamide/polymer
dispersion contains less than 20% by weight of lipophilic microphase-forming materials.
In some embodiments, the enzalutamide/polymer dispersion contains less than 10% by
weight of lipophilic microphase-forming materials. In some embodiments, the enzalutamide/polymer
dispersion contains less than 5% by weight of lipophilic microphase-forming materials.
[0066] To obtain the best performance, particularly upon storage for long times prior to
use, it is preferred that the enzalutamide remain, to the extent possible, in the
amorphous state. The inventors have found that this is best achieved when the glass-transition
temperature, Tg, of the solid amorphous dispersion is substantially above the storage
temperature of the composition. In particular, it is preferable that the Tg of the
amorphous state of the dispersion be at least 40°C. In some embodiments, the Tg of
the amorphous state of the dispersion is at least 60°C. To achieve a high Tg for an
enzalutamide/polymer dispersion, it is desirable that the polymer have a high Tg.
Exemplary high Tg concentration-enhancing polymers are HPMCAS, HPMCP, CAP, CAT.
[0067] The polymer is not particularly limited, so long as enzalutamide can be carried as
the solid dispersion. In some embodiments, the polymer is not particularly limited,
so long as enzalutamide can be an amorphous state. Examples of the polymer include
polyvinyl pyrrolidone (PVP), polyethyleneoxide (PEO), poly(vinyl pyrrolidone-co-vinyl
acetate), polymethacrylates, polyoxyethylene alkyl ethers, polyoxyethylene castor
oils, polycaprolactam, polylactic acid, polyglycolic acid, poly(lactic-glycolic)acid,
lipids, cellulose, pullulan, dextran, maltodextrin, hyaluronic acid, polysialic acid,
chondroitin sulfate, heparin, fucoidan, pentosan polysulfate, spirulan, hydroxypropyl
methyl cellulose (HPMC), hydroxypropyl cellulose (HPC), carboxymethyl ethylcellulose
(CMEC), hydroxypropyl methylcellulose acetate succinate (HPMCAS), cellulose acetate
phthalate (CAP), cellulose acetate trimellitate (CAT), ethyl cellulose, cellulose
acetate, cellulose butyrate, cellulose acetate butyrate, dextran polymer derivatives,
and pharmaceutically acceptable forms, derivatives. In some embodiments, the polymer
is hydroxypropyl methylcellulose acetate succinate (HPMCAS). In some embodiments,
the polymers are hydroxypropyl methylcellulose acetate succinate (HPMCAS) and/or hydroxypropyl
methyl cellulose (HPMC). These polymers may be added alone, or as mixtures thereof.
In some embodiments, hydroxypropyl methylcellulose acetate succinate (HPMCAS) is hydroxypropylmethlycellulose
acetate succinate M-grade (HPMCAS-M). Examples of hydroxypropylmethlycellulose acetate
succinate M-grade include HPMCAS-MG (Shin-Etsu Chemical Co., Ltd.).
Preparation of Compositions
[0068] Dispersions of enzalutamide and concentration-enhancing polymer may be made according
to any known process which results in at least a major portion (at least 60%) of the
enzalutamide being in the amorphous state. Exemplary mechanical processes include
milling and hot-melt extrusion; melt processes include high temperature fusion, solvent
modified fusion and melt-congeal processes; and solvent processes include non-solvent
precipitation, spray coating and spray-drying. Although the dispersions may be made
by any of these processes, the dispersions generally have their maximum bioavailability
and stability when the enzalutamide is dispersed in the polymer such that it is substantially
amorphous and substantially homogeneously distributed throughout the polymer.
[0069] Particularly effective methods for forming solid amorphous dispersions of enzalutamide
and concentration-enhancing polymers are solvent processing and hot melt extrusion.
[0070] In general, as the degree of homogeneity of the dispersion increases, the enhancement
in the aqueous concentration of enzalutamide and relative bioavailability increases
as well. Given the low aqueous solubility and bioavailability of crystalline enzalutamide,
it is highly preferred for the dispersions to be as homogeneous as possible. Thus,
most preferred are dispersions having a single glass transition temperature, which
indicates a high degree of homogeneity.
[0071] In some embodiments, substantially amorphous and substantially homogeneous dispersions
are made by any of the methods described above. In some embodiments, dispersions are
formed by "solvent processing," in which enzalutamide and a polymer are dissolved
in a common solvent. "Common" here means that the solvent, which can be a mixture
of compounds, will simultaneously dissolve the drug and the polymer(s). After both
the enzalutamide and the polymer have been dissolved, the solvent is rapidly removed
by evaporation or by mixing with a non-solvent. Exemplary processes are spray-drying,
spray-coating (pan-coating, fluidized bed coating, etc.), and precipitation by rapid
mixing of the polymer and drug solution with CO
2, water, or some other non-solvent. In some embodiments, removal of the solvent results
in a solid dispersion which is substantially homogeneous. As described previously,
in such substantially homogeneous dispersions, the enzalutamide is dispersed as homogeneously
as possible throughout the polymer and can be thought of as a solid solution of enzalutamide
in the polymer(s). When the resulting dispersion constitutes a solid solution of enzalutamide
in polymer, the dispersion may be thermodynamically stable, meaning that the concentration
of enzalutamide in the polymer is at or below its equilibrium value. Alternatively,
the composition may be a supersaturated solid solution where the enzalutamide concentration
in the dispersion polymer(s) is above its equilibrium value.
[0072] The solvent may be removed through the process of spray-drying. The term spray-drying
is used conventionally and broadly refers to processes involving breaking up liquid
mixtures into small droplets (atomization) and rapidly removing solvent from the mixture
in a container (spray-drying apparatus) where there is a strong driving force for
evaporation of solvent from the droplets. The strong driving force for solvent evaporation
is generally provided by maintaining the partial pressure of solvent in the spray-drying
apparatus well below the vapor pressure of the solvent at the temperature of the drying
droplets. This is accomplished by either (1) maintaining the pressure in the spray-drying
apparatus at a partial vacuum (e.g., 0.01 to 0.50 atm); (2) mixing the liquid droplets
with a warm drying gas; or (3) both. In addition, at least a portion of the heat required
for evaporation of solvent may be provided by heating the spray solution.
[0073] Solvents suitable for spray-drying can be any organic compound in which enzalutamide
and polymer are mutually soluble. In some embodiments, the solvent is also volatile
with a boiling point of 150°C or less. In addition, the solvent should have relatively
low toxicity and be removed from the dispersion to a level that is acceptable according
to The International Committee on Harmonization (ICH) guidelines. Removal of solvent
to this level may require a processing step such as tray-drying subsequent to the
spray-drying or spray-coating process. Solvents include alcohols such as methanol,
ethanol, n-propanol, iso-propanol, and butanol; ketones such as acetone, methyl ethyl
ketone and methyl iso-butyl ketone; esters such as ethyl acetate and propylacetate;
and various other solvents such as acetonitrile, methylene chloride, toluene, and
1,1,1-trichloroethane. Lower volatility solvents such as dimethyl acetamide or dimethylsulfoxide
can also be used. Mixtures of solvents, such as 50% methanol and 50% acetone, can
also be used, as can mixtures with water as long as the polymer and enzalutamide are
sufficiently soluble to make the spray-drying process practicable. Generally, due
to the hydrophobic nature of enzalutamide, non-aqueous solvents used. Non-aqueous
solvents comprise less than about 10 wt % water; in some embodiments, less than 1
wt % water.
[0074] In some embodiments, solvents for spray drying enzalutamide/polymer solutions are
acetone, ethanol, methanol, mixtures thereof, and mixtures with water.
[0075] Generally, the temperature and flow rate of the drying gas is chosen so that the
polymer/drug-solution droplets are dry enough by the time they reach the wall of the
apparatus that they are essentially solid, and so that they form a fine powder and
do not stick to the apparatus wall. The actual length of time to achieve this level
of dryness depends on the size of the droplets. Droplet sizes generally range from
1 µm to 500 µm in diameter, with 5 to 100 µm being more typical. The large surface-to-volume
ratio of the droplets and the large driving force for evaporation of solvent leads
to actual drying times of a few seconds or less, and more typically less than 0.1
second. This rapid drying is often critical to the particles maintaining a uniform,
homogeneous dispersion instead of separating into drug-rich and polymer-rich phases.
As above, to get large enhancements in concentration and bioavailability it is often
necessary to obtain as homogeneous a dispersion as possible. Solidification times
should be less than 100 seconds. In some embodiments, solidification time is less
than a few seconds. In some embodiments, solidification time is less than 1 second.
In general, to achieve this rapid solidification of the enzalutamide/polymer solution,
the size of droplets formed during the spray-drying process is less than about 100
µm in diameter. The resultant solid particles thus formed are generally less than
about 100 µm in diameter.
[0076] Following solidification, the solid powder typically stays in the spray-drying chamber
for about 5 to 60 seconds, further evaporating solvent from the solid powder. The
final solvent content of the solid dispersion as it exits the dryer should be low,
since this reduces the mobility of enzalutamide molecules in the dispersion, thereby
improving its stability. Generally, the solvent content of the dispersion as it leaves
the spray-drying chamber should be less than 10 wt %. In some embodiments, the solvent
content of the dispersion as it leaves the spray-drying chamber is less than 2 wt
%. In some cases, it may be preferable to spray a solvent or a solution of a polymer
or other excipient into the spray-drying chamber to form granules, so long as the
dispersion is not adversely affected.
[0078] The spray drying equipment used in the Examples below were:
Mini Spray Dryer. This bench-top spray dryer is an atomizer in the top cap of a vertically oriented
10-cm diameter stainless steel pipe. The atomizer was a two-fluid nozzle (Spraying
Systems Co. 1650 fluid cap and 64 air cap). Atomizing gas (nitrogen) was delivered
to the nozzle at 100°C at a flow rate of 15 gm/min, and the spray solution was delivered
to the nozzle at room temperature and at a flow rate of 1.0 gm/min using a syringe
pump (Harvard Apparatus, Syringe Infusion Pump. Filter paper attached to a supporting
screen was clamped to the bottom end of the pipe to collect the solid spray-dried
material and allow the nitrogen and evaporated solvent to escape..
Bend Laboratory Spray Drier (BLD). The BLD is a custom-made spray drier manufactured at Bend Research, Inc. The spray
solution is delivered to an atomizer located in the spray drying chamber. The chamber
consists of three sections: a top section, a straight-side section, and a cone section.
The top section contains a perforated plate to create an organized co-current flow
of drying gas and the atomized spray solution within the drying chamber. The drying
gas enters the top section through the drying-gas inlet and passes through the perforated
plate. The drying gas then enters the straight side section of the spray-drying chamber.
The atomizer slightly protrudes from the perforated plate. The spray solution is sprayed
into the straight-side section of the spray-drying chamber. The flow rate of drying
gas and spray solution are selected such that the atomized spray solution forms solid
particles, which are collected in the cone section of the spray-drying chamber. The
spray-dried particles, evaporated solvent, and drying gas are removed from the spray-drying
chamber through an outlet port and sent to a cyclone separator where the spray-dried
particles are collected. The evaporated solvent and drying gas are then sent to a
filter for removal of any remaining particles before discharge.
PSD-1 Spray Drier. This spray drying apparatus is a type XP Portable Spray-Dryer with a Liquid
Feed Process Vessel Model No. PSD-1 (Niro A/S, Soeborg, Denmark). The PSD-1 is equipped
with a pressure nozzle. Heated drying gas (nitrogen, typically at 100°C) is delivered
to the drying chamber through an inlet duct and a DPH gas disperser (Niro) that surrounds
the nozzle. The resulting SDD exits the chamber with the drying gas and evaporates
solvents through transport ducts and into a cyclone. At the top of the cyclone is
an exhaust vent that allowed the nitrogen and evaporated solvent to escape. The SDD
is collected in a canister.
[0079] In some embodiments, formation of enzalutamide/polymer amorphous dispersions is achieved
using hot-melt extrusion. Powder mixtures of enzalutamide and concentration-enhancing
polymer are heated and passed through an extruder such as a 7.5 mm MP&R extruder,
which is capable of reaching 210 °C and is equipped with a 1/8 inch cylindrical die.
After the extruded enzalutamide/polymer mass exits the extruder, it is milled. In
some embodiments, for the purpose of enhancing the
in vitro C
max and AUC
90 in an enzalutamide dissolution test, a enzalutamide/polymer dispersion has a mean
particle size less than 150 µm. In some embodiments, mean particle size is less than
50 µm. In some embodiments, concentration-enhancing polymers for use in hot-melt extruded
enzalutamide/polymer solid amorphous dispersions are hydroxypropylmethylcellulose
acetate succinate (HPMCAS) and polyvinylpyrrolidonevinylacetate (PVP-VA).
[0080] The amount of concentration-enhancing polymer relative to the amount of enzalutamide
present in the dispersions may vary widely. The composition of enzalutamide/polymer
dispersions is expressed, for example, as 25%A:HPMCAS-M, where 25%A means "25% active"
and the dispersion contains 25% (by weight) enzalutamide and 75% (by weight) hydroxypropylmethlycellulose
acetate succinate M-grade. In enzalutamide dispersions described herein, the enzalutamide
content is generally greater than 20%A; in some embodiments, from 25%A to 75%A; in
some embodiments, from 50%A to 70%A. For a specific concentration-enhancing polymer,
the enzalutamide/polymer ratio that yields optimum results is best determined in
in vitro dissolution tests and/or
in vivo bioavailability tests.
[0081] The ratio of the polymer to enzalutamide is not particularly limited, so long as
enzalutamide can be formed the solid dispersion. In some embodiments, the ratio of
the polymer to enzalutamide is not particularly limited, so long as enzalutamide can
be an amorphous state. The ratio of the polymer is specifically 0.5 to 7 parts by
weight in some embodiments, 0.5 to 3 parts by weight in some embodiments, 1 to 3 parts
by weight in some embodiments, 2 to 3 parts by weight in some embodiments, 3 to 5
parts by weight in some embodiments, and 5 parts by weight in some embodiments, with
respect to 1 part by weight of enzalutamide.
[0082] In addition, the amount of concentration-enhancing polymer that can be used in a
dosage form is often limited by the total mass requirements of the dosage form. For
example, when oral dosing to a human is desired, at low enzalutamide-to-polymer ratios
the total mass of drug and polymer may be unacceptably large for delivery of the desired
dose in a single tablet or capsule. Thus, it is often necessary to use enzalutamide-to-polymer
ratios that are less than optimum in specific dosage forms to provide a sufficient
enzalutamide dose in a dosage form that is small enough to be easily swallowed by
a human.
[0083] Solid amorphous dispersions having fine particles, such as less than 50 µm in average
particle diameter, can have poor flow characteristics. Poor flowability of a solid
amorphous dispersion can lead to difficulties in handling and compressing the solid
amorphous dispersion. For example, poor flowability of the solid amorphous dispersion
can lead to inconsistent flow through processing equipment and/or inconsistent or
incomplete filling of tablet or capsule dies, which can lead to delivery of inconsistent
dosages.
[0084] In addition to particle size, the flow characteristics of the solid amorphous dispersion
can also be dependent on the bulk specific volume of the solid amorphous dispersion.
The bulk specific volume of a powder is the inverse of the bulk density of a powder
and can be measured as the volume occupied by a unit mass of the powder, such as in
cubic centimeters per gram, when the powder is poured into a container, such as a
graduated cylinder. Generally, the lower the bulk specific volume of a powder, the
better the flowability of the particles. Improving the flowability of the solid amorphous
dispersion can therefore be more desirable for a solid amorphous dispersion having
a higher bulk specific volume. For example, in some exemplary methods, the solid amorphous
dispersion can have a bulk specific volume greater than or equal to 3 cc/g, greater
than or equal to 5 cc/g, greater than or equal to 8 cc/g, from 3 to 5 cc/g, and/or
from 3 to 8 cc/g.
[0085] High-shear mixing of the solid amorphous dispersion and a glidant can increase the
uniformity of the mixed particles, such as producing an ordered mixture and/or an
interactive mixture. As used herein, the term "glidant" means a substance that, when
added to a powder, improves the flowability of the powder, such as by reducing inter-particle
friction. Exemplary glidants include but are not limited to colloidal silicas, colloidal
silicon dioxide, fumed silica, CAB-O-SIL
® M-5P, AEROSIL
®, talc, starch, and magnesium aluminum silicates.
[0086] A blend of the solid amorphous dispersion and the glidant using high-shear mixing
can have improved flowability, as measured by Carr's Index, compared to the flowability
of the solid amorphous dispersion alone. In general, the lower the Carr's Index, the
better the flowability of the substance. As used herein, the term "Carr's Index" means
a dimensionless parameter "C" used to characterize the flowability of a substance,
such as a powder, where C = 1 - (B/T), B is the bulk density of the substance and
T is the tapped density of the substance. The Carr's Index can be expressed as a percentage,
e.g., if C = 0.5, the Carr's Index can be expressed as 50%. The bulk density is equal
to mass per volume (g/cc) of a sample before being tapped and the tapped density is
equal to the mass of a sample divided by the volume of the sample after the sample
is tapped for 2000 cycles in a Vankel Tap density instrument.
[0087] A powder having a lower Carr's Index can also be easier to compress into a tablet.
In some exemplary methods, a mixture having a Carr's Index greater than 40%, for example,
can be difficult to compress into a tablet. For example, a tablet formed from a mixture
having a high Carr's Index can be more likely to crack, fracture, or otherwise fail
to stick together or maintain a tablet form after compression. Adding a glidant to
the solid amorphous dispersion with high-shear mixing can produce a mixture having
a low Carr's Index, such as below 40% and/or 35%, that is suitable for direct compression.
This allows direct compression of the solid amorphous dispersion without the need
to include an intermediate granulation process to decrease the Carr's Index of the
mixture to a suitable level.
[0088] An exemplary method for forming a pharmaceutical dosage form comprises: providing
a solid amorphous dispersion comprising particles wherein the particles comprise enzalutamide
and a polymer, the solid amorphous dispersion having an average particle diameter
of less than 50 µm; forming an ordered mixture by high-shear mixing a blend comprising
the solid amorphous dispersion and a powdered glidant, the glidant having an average
particle diameter of less than or equal to one-fifth the average particle diameter
of the solid amorphous dispersion after high-shear mixing; and forming the pharmaceutical
dosage form by at least one of directly compressing the ordered mixture to form a
tablet and encapsulating the ordered mixture to form a capsule.
[0089] Another exemplary method of preparing a pharmaceutical dosage form comprises: providing
a solid amorphous dispersion comprising particles wherein the particles comprise enzalutamide
and a polymer, the solid amorphous dispersion having an average particle diameter
of less than 50 µm; forming an ordered mixture comprising the solid amorphous dispersion
and a glidant using high-shear mixing, the ordered mixture having a Carr's Index of
less than 40%; and forming the pharmaceutical dosage form by directly compressing
the ordered mixture to form a tablet or encapsulating the ordered mixture to form
a capsule.
[0090] Another exemplary method for forming a pharmaceutical dosage form comprises: providing
a solid amorphous dispersion comprising particles, the particles comprising enzalutamide
and a polymer, the solid amorphous dispersion having an average particle diameter
of less than 50 µm; forming a blend comprising the solid amorphous dispersion and
a powdered glidant using high-shear mixing, the high-shear mixing having a Froude
Number greater than 0.2; and forming the pharmaceutical dosage form by at least one
of directly compressing the blend to form a tablet and encapsulating the blend to
form a capsule.
[0091] As used herein, the term "Froude Number" means a dimensionless parameter "Fr" used
to characterize a mixing process, such that Fr = V
2/gD
c, where V is the characteristic velocity of the particles in a mixing chamber, D
c is the characteristic diameter of the chamber, and g is the acceleration due to Earth's
gravity. For a rotating agitator, such as an impeller, the characteristic velocity
may be defined as V = πD
aN, where D
a is the diameter of the agitator and N is the agitator rotation rate in revolutions
per unit time.
[0092] As used herein, the term "high-shear mixing" means a powder mixing process characterized
by a Froude Number within a specified range, such as greater than 0.01, greater than
0.1, greater than 0.2, greater than 0.5, greater than 1, greater than 10, and/or greater
than 20, for example. Where the Froude Number is not specified, the term "high-shear
mixing" means a powder mixing process characterized by a Froude Number of at least
1. The term "high-shear mixing" does not include high-shear granulation using a liquid,
or dissolving or dispersing a solid in a liquid.
[0093] As used herein, the term "low-shear mixing" means a conventional mixing process that
is not high-shear mixing.
[0094] As used herein, the term "ordered mixture" means a mixture of powders having a level
of uniformity that is greater than a level achievable by random mixing.
[0095] As used herein, the term "interactive mixture" means a mixture of a first powder
having a first average particle size and a second powder having a second average particle
size that is larger than the first average particle size, wherein all, substantially
all or at least 90% of the particles of the first powder interact with and adhere
to at least one of the plurality of the particles of the second powder. In some embodiments,
an ordered mixture is also an interactive mixture.
[0096] As used herein, the term "average particle size" means the D
50. The term D
50 means that 50 vol% of the particles have a diameter that is smaller than this, and
50 vol% of the particles have a diameter that is larger than this. The average particle
size may be measured using standard laser diffraction particle sizing techniques known
in the art. One example of an instrument to measure the particle size of the dry powders
is the Masteresizer 2000, manufactured by Malvern Instruments Ltd (Worcestershire,
UK). In some embodiments, the average particle diameter of the glidant after high-shear
mixing is less than that of the dispersion particles. This can be determined by scanning-electron
microscopy analysis of the blend. A comparison of the dispersion particles before
high-shear mixing with the glidant and after high-shear mixing will show small particles
of glidant on the surfaces of the dispersion particles.
Excipients and Dosage Forms
[0097] Although the key ingredients present in the compositions are simply the enzalutamide
to be delivered and the concentration-enhancing polymer(s), the inclusion of other
excipients in the composition may be useful. These excipients may be utilized with
the enzalutamide and polymer composition in order to formulate the composition into
tablets, capsules, suspensions, powders for suspension, creams, transdermal patches,
depots, and the like. The composition of enzalutamide and polymer can be added to
other dosage form ingredients in essentially any manner that does not substantially
alter the enzalutamide. The excipients may be either physically mixed with the dispersion
and/or included within the dispersion.
[0098] The solid dispersion (amorphous enzalutamide) comprising enzalutamide and the polymer
is further mixed with one or more pharmaceutically acceptable additives to prepare
a pharmaceutical composition.
[0099] The additives are not particularly limited, so long as they are pharmaceutically
acceptable. Examples of the additives include a filler, a binder, a disintegrator,
an acidulant, an effervescent agent, an artificial sweetener, a flavor, a lubricant,
a coloring agent, a stabilizing agent, a buffer, an antioxidant, a glidant, and the
like.
[0100] The filler may be selected from, for example, mannitol, lactose, starch, corn starch,
calcium hydrogen phosphate hydrate, magnesium carbonate, calcium carbonate, purified
sucrose, glucose, and the like.
[0101] The binder may be selected from, for example, hydroxypropylmethyl cellulose, hydroxypropyl
cellulose, polyvinyl alcohol, methyl cellulose, gum arabic, and the like.
[0102] The disintegrator may be selected from, for example, corn starch, starches, crystalline
cellulose, carmellose calcium, carmellose sodium, croscarmellose sodium, light anhydrous
silicic acid, calcium silicate, low-substituted hydroxypropyl cellulose, partially
pregelatinized starch, sodium carboxymethyl starch, agar powder, crospovidone, synthetic
aluminum silicate, sucrose fatty acid esters, lactose hydrate, D-mannitol, anhydrous
citric acid, and the like.
[0103] The acidulant may be selected from, for example, citric acid, tartaric acid, malic
acid, and the like.
[0104] The effervescent agent may be selected from, for example, sodium bicarbonate and
the like.
[0105] The artificial sweetener may be selected from, for example, saccharin sodium, dipotassium
glycyrrhizinate, aspartame, stevia, thaumatin, and the like.
[0106] The flavor may be selected from, for example, lemon, lemon-lime, orange, menthol,
and the like.
[0107] The lubricant may be selected from, for example, magnesium stearate, calcium stearate,
sucrose fatty acid esters, sodium stearyl fumarate, polyethylene glycol, talc, stearic
acid, and the like.
[0108] The coloring agent may be selected from, for example, yellow ferric oxide, red ferric
oxide, food yellow No. 4, food yellow No. 5, food red No. 3, food red No. 102, food
blue No. 3, and the like.
[0109] The buffer may be selected from, for example, citric acid, succinic acid, fumaric
acid, tartaric acid, ascorbic acid, or salts thereof; glutamic acid, glutamine, glycine,
aspartic acid, alanine, arginine, or salts thereof; magnesium oxide, zinc oxide, magnesium
hydroxide, phosphoric acid, boric acid, or their salts; and the like.
[0110] The antioxidant may be selected from, for example, ascorbic acid, dibutyl hydroxytoluene,
propyl gallate, and the like.
[0111] The glidant may be selected from, for example, light anhydrous silicic acid, titanium
oxide, stearic acid, colloidal silica, colloidal 20 silicon dioxide, fumed silica,
CAB-O-SIL
® M-5P, AEROSIL
®, talc, starch, and magnesium aluminum silicates and the like.
[0112] These additives may be added alone in an appropriate amount, or as a combination
of two or more thereof in appropriate amounts.
[0113] One very useful class of excipients to be added to the formulation after formation
of the enzalutamide/polymer dispersion comprises surfactants and surface-active agents.
Suitable surfactants and surface-active agents are sulfonated hydrocarbons and their
salts, such as dioctylsodiumsulfocuccinate and sodium laurylsulfate; polyoxyethylene
sorbitan fatty acid esters, such as polysorbate-80 and polysorbate-20; polyoxyethylene
alkyl ethers; polyoxyethylene castor oil; polyoxyethylene (-40 or - 60) hydrogenated
castor oil; tocopheryl polyethyleneglycol 1000 succinate; glyceryl polyethyleneglycol-8
caprylate/caprate; polyoxyethylene-32 glyceryl laurate; polyoxyethylene fatty acid
esters; polyoxyethylene-polyoxypropylene block copolymers; polyglycolized glycerides;
long-chain fatty acids such as palmitic and stearic and oleic and ricinoleic acids;
medium-chain and long-chain saturated and unsaturated mono-, di- and tri-glycerides
and mixtures thereof; fractionated coconut oils; mono- and di-glycerides of capric
and caprylic acids; bile salts such as sodium taurocholate; and phospholipids such
as egg lecithin, soy lecithin, 1,2-diacyl-sn-glycerophosphorylcholines such as 1-palmitoyl-2-oleyl-
sn-glycerophosphorylcholine, dipalmitoyl- sn-glycerophosphorylcholine, distearoyl-
sn-glycerophosphorylcholine, and 1 -palmitoyl-2-stearoyl- sn-glycerophosphorylcholine.
Such materials can be advantageously be employed to increase the rate of dissolution
by facilitating wetting, thereby increasing the maximum dissolved concentration, and
also to inhibit crystallization or precipitation of drug by interacting with the dissolved
drug by mechanisms such as complexation, formation of inclusion complexes, formation
of micelles or adsorbing to the surface of solid drug, crystalline or amorphous. These
surfactants may comprise up to 5% of the composition.
[0114] The addition of pH modifiers such as acids, bases, or buffers may also be beneficial,
retarding the dissolution of the composition (e.g., acids such as citric acid or succinic
acid when the concentration-enhancing polymer is anionic) or, alternatively, enhancing
the rate of dissolution of the composition (e.g., bases such as sodium acetate or
amines when the polymer is anionic).
[0115] Conventional matrix materials, complexing agents, solubilizers, fillers, disintegrating
agents (disintegrants), or binders may also be added as part of the composition itself
or added by granulation via wet or mechanical or other means. These materials may
comprise up to 90 wt % of the composition.
[0116] Examples of matrix materials, fillers, or diluents include lactose, mannitol, xylitol,
microcrystalline cellulose, calcium diphosphate, and starch.
[0117] Examples of disintegrants include sodium starch glycolate, sodium alginate, carboxy
methyl cellulose sodium, methyl cellulose, and croscarmellose sodium.
[0118] Examples of binders include methyl cellulose, microcrystalline cellulose, starch,
and gums such as guar gum, and tragacanth.
[0119] Examples of lubricants include magnesium stearate and calcium stearate.
[0120] Other conventional excipients may be employed, including those excipients well-known
in the art. Generally, excipients such as pigments, lubricants, flavorants, and so
forth may be used for customary purposes and in typical amounts without adversely
affecting the properties of the compositions. These excipients may be utilized in
order to formulate the composition into tablets, capsules, suspensions, powders for
suspension, creams, transdermal patches, and the like.
[0121] The compositions may be delivered by a wide variety of routes, including, but not
limited to, oral, nasal, rectal, and pulmonary. In some embodiments, compositions
are delivered by the oral route.
[0122] The pharmaceutical compositions comprising the solid dispersion, can be formulated
into various dosage forms, including tablets, powders, fine granules, granules, dry
syrups, capsules and the like as well as the solid dispersion itself. In some embodiments,
the solid pharmaceutical composition is in tablet form.
[0123] Compositions disclosed herein may also be used in a wide variety of dosage forms
for administration of enzalutamide. Exemplary dosage forms are powders or granules
that may be taken orally either dry or reconstituted by addition of water or other
liquids to form a paste, slurry, suspension or solution; tablets; capsules; multiparticulates;
and pills. Various additives may be mixed, ground, or granulated with the compositions
disclosed herein to form a material suitable for the above dosage forms.
[0124] The compositions may be formulated in various forms such that they are delivered
as a suspension of particles in a liquid vehicle. Such suspensions may be formulated
as a liquid or paste at the time of manufacture, or they may be formulated as a dry
powder with a liquid, typically water, added at a later time but prior to oral administration.
Such powders that are constituted into a suspension are often termed sachets or oral
powder for constitution (OPC) formulations. Such dosage forms can be formulated and
reconstituted via any known procedure. The simplest approach is to formulate the dosage
form as a dry powder that is reconstituted by simply adding water and agitating.
[0125] In some embodiments, dispersions of enzalutamide are formulated for long-term storage
in the dry state as this promotes the chemical and physical stability of the enzalutamide.
Various excipients and additives are combined with the compositions to form the dosage
form. For example, it may be desirable to add some or all of the following: preservatives
such as sulfites (an antioxidant), benzalkonium chloride, methyl paraben, propyl paraben,
benzyl alcohol or sodium benzoate; suspending agents or thickeners such as xanthan
gum, starch, guar gum, sodium alginate, carboxymethyl cellulose, sodium carboxymethyl
cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyacrylic acid, silica
gel, aluminum silicate, magnesium silicate, or titanium dioxide; anticaking agents
or fillers such as silicon oxide, or lactose; flavorants such as natural or artificial
flavors; sweeteners such as sugars such as sucrose, lactose, or sorbitol as well as
artificial sweeteners such as aspartame or saccharin; wetting agents or surfactants
such as various grades of polysorbate, docusate sodium, or sodium lauryl sulfate;
solubilizers such as ethanol propylene glycol or polyethylene glycol; coloring agents
such as FD and C Red No. 3 or FD and C Blue No. 1; and pH modifiers or buffers such
as carboxylic acids (including citric acid, ascorbic acid, lactic acid, and succinic
acid), various salts of carboxylic acids, amino acids such as glycine or alanine,
various phosphate, sulfate and carbonate salts such as trisodium phosphate, sodium
bicarbonate or potassium bisulfate, and bases such as amino glucose or triethanol
amine.
[0126] In some embodiments, an additional concentration-enhancing polymer may be added.
An additional concentration-enhancing polymer may act as a thickener or suspending
agent in formulations which are constituted with a liquid before dosing, and which
may provide additional precipitation inhibition for all dosage forms after dosing
to an aqueous use environment.
[0127] In some cases, the overall dosage form or particles, granules or beads that make
up the dosage form may have superior performance if coated with an enteric polymer
to prevent or retard dissolution until the dosage form leaves the stomach. Exemplary
enteric coating materials include hydroxypropyl methyl cellulose acetate succinate,
hydroxypropyl methyl cellulose phthalate, cellulose acetate phthalate, cellulose acetate
trimellitate, carboxylic acid-functionalized polymethacrylates, and carboxylic acid-functionalized
polyacrylate.
[0128] Compositions may be administered in a controlled release dosage form. In one such
dosage form, the composition of the enzalutamide and polymer is incorporated into
an erodible polymeric matrix device. By an erodible matrix is meant aqueous-erodible
or water-swellable or aqueous-soluble in the sense of being either erodible or swellable
or dissolvable in pure water or requiring the presence of an acid or base to ionize
the polymeric matrix sufficiently to cause erosion or dissolution. When contacted
with the aqueous environment of use, the erodible polymeric matrix imbibes water and
forms an aqueous-swollen gel or "matrix" that entraps the dispersion of enzalutamide
and polymer. The aqueous-swollen matrix gradually erodes, swells, disintegrates or
dissolves in the environment of use, thereby controlling the release of the dispersion
to the environment of use.
[0129] In some embodiments, compositions are administered by or incorporated into a non-erodible
matrix device.
[0130] In some embodiments, compositions are delivered using a coated osmotic controlled
release dosage form. This dosage form has two components: (a) the core which contains
an osmotic agent and the dispersion of enzalutamide and concentration-enhancing polymer;
and (b) a non-dissolving and non-eroding coating surrounding the core, the coating
controlling the influx of water to the core from an aqueous environment of use so
as to cause drug release by extrusion of some or all of the core to the environment
of use. The osmotic agent contained in the core of this device may be an aqueous-swellable
hydrophilic polymer, osmogen, or osmagent. The coating is in some embodiments, polymeric,
aqueous-permeable, and has at least one delivery port.
[0131] In some embodiments, compositions are delivered via a coated hydrogel controlled
release form having at least two components: (a) a core comprising the dispersion
and a hydrogel, and (b) a coating through which the dispersion has passage when the
dosage form is exposed to a use environment.
[0132] In some embodiments, a drug mixture is delivered via a coated hydrogel controlled
release dosage form having at least three components: (a) a composition containing
the dispersion, (b) a water-swellable composition wherein the water-swellable composition
is in a separate region within a core formed by the drug-containing composition and
the water-swellable composition, and (c) a coating around the core that is water-permeable,
water-insoluble, and has at least one delivery port therethrough. In use, the core
imbibes water through the coating, swelling the water-swellable composition and increasing
the pressure within the core, and fluidizing the dispersion-containing composition.
Because the coating remains intact, the dispersion-containing composition is extruded
out of the delivery port into an environment of use.
[0133] In some embodiments, compositions may be administered as multiparticulates. Multiparticulates
generally refer to dosage forms that comprise a multiplicity of particles that may
range in size from about 10 µm to about 2 mm, more typically about 100 µm to 1 mm
in diameter. Such multiparticulates may be packaged, for example, in a capsule such
as a gelatin capsule or a capsule formed from an aqueous-soluble polymer such as HPMCAS,
HPMC or starch or they may be dosed as a suspension or slurry in a liquid.
[0134] Such multiparticulates may be made by any known process, such as wet- and dry-granulation
processes, extrusion/spheronization, roller-compaction, or by spray-coating seed cores.
For example, in wet- and dry-granulation processes, the composition of enzalutamide
and concentration-enhancing polymer is prepared as described above. This composition
is then granulated to form multiparticulates of the desired size. Other excipients,
such as a binder (e.g., microcrystalline cellulose), may be blended with the composition
to aid in processing and forming the multiparticulates. In the case of wet granulation,
a binder such as microcryscalline cellulose may be included in the granulation fluid
to aid in forming a suitable multiparticulate.
[0135] In any case, the resulting particles may themselves constitute the multiparticulate
dosage form or they may be coated by various film-forming materials such as enteric
polymers or water-swellable or water-soluble polymers, or they may be combined with
other excipients or vehicles to aid in dosing to patients.
[0136] The solid dispersion can be prepared by dissolving and/or suspending enzalutamide
and the polymer in a pharmaceutically acceptable solvent, and removing the solvent.
Pharmaceutically acceptable additives can be added to the solvent which dissolved
and/or suspended enzalutamide.
[0137] The pharmaceutically acceptable solvent is not particularly limited, so long as enzalutamide
can be an amorphous state in the presence of the polymer. Examples of the pharmaceutically
acceptable solvent include ketones such as acetone, alcohols such as methanol, ethanol,
or propanol, a mixture thereof, and a mixed solvent of water with one or more of these
solvents. These pharmaceutically acceptable solvents may be used alone or as an appropriate
combination of two or more thereof.
[0138] The amount of the pharmaceutically acceptable solvent is not particularly limited,
so long as it can be dissolved and/or suspended enzalutamide. A 1- to 100-fold amount
(w/w) of the pharmaceutically acceptable solvent, or a 5- to 20-fold amount (w/w)
of the pharmaceutically acceptable solvent in other embodiments may be contained,
with respect to the total weight of enzalutamide and the polymer.
[0139] A method of removing the pharmaceutically acceptable solvent is not particularly
limited, so long as the solvent can be removed from the liquid in which enzalutamide
and the polymer are dissolved and/or suspended. Examples of the method include spray
drying, drying under reduced pressure, forced-air drying, and the like, and spray
drying may be used in other embodiments.
[0140] The process of manufacturing the pharmaceutical composition or its pharmaceutical
formulation is not particularly limited, so long as it can produce the desired pharmaceutical
formulation by using an appropriate combination of the above methods or known methods
per se. Specifically, for example, the solid dispersion is mixed with one additive, or two
or more additives, and known methods
per se are carried out to obtain tablets, powders, fine granules, granules, dry syrups,
or capsules.
[0141] The process of manufacturing the pharmaceutical composition or its pharmaceutical
formulation is not particularly limited, so long as it can produce the desired pharmaceutical
formulation by using an appropriate combination of the above methods or known methods
per se.
[0142] The pharmaceutical composition can be produced, for example, by any known process
including the steps of blending, granulation, specific size controlling, tableting,
film coating and the like.
[0143] For example, the solid pharmaceutical composition in the form of powders, fine granules,
granules or dry syrups can be produced by a process including the steps of (1) mixing
the solid dispersion with one additive or two or more additives using blender, and
(2) granulating the resulting mixture by dry granulation using dry granulator. In
a case where the above various pharmaceutical additives are used as needed, these
pharmaceutical additives may be added at any stage, e.g., during step (1), between
steps (1) and (2), or during step (2).
[0144] The specific size controlling method can be adjusted the particle size of the granules.
For example, the size may be adjusted 50µm to 500µm, 100µm to 300µm in another embodiment,
100µm to 250µm in still another embodiment using a sizing machine.
[0145] The granules may each be adjusted to any suitable size by being subjected to a grinding
step prior to the mixing step. In the grinding step, any apparatus or means may be
used as long as it generally allows pharmaceutical grinding of the drug and/or the
pharmaceutical additive(s). In the mixing step of the individual components, which
is subsequent to grinding, any apparatus or means may be used as long as it generally
allows pharmaceutical mixing of the individual components into a uniform state.
[0146] The granulated product is then tabletted to produce tablets. Any tableting technique
may be used for this purpose as long as it generally allows pharmaceutical production
of compression molded products. Examples include techniques in which a granulated
product is tabulated in admixture with one additive, or two or more additives. Any
type of tablet machine may be used for this purpose as long as it generally allows
pharmaceutical production of compression molded products. Examples include a rotary
tablet machine, a single-shot tablet machine and the like. The tablet hardness is
set to, for example, 50 to 300 N, or alternatively, 80 to 250 N, taking into consideration
handling in production, distribution, and the like of medicaments.
[0147] After tableting, the tablet surface may be coated with a film coating. Any technique
may be used for this purpose as long as it generally allows pharmaceutical tablet
coating. Examples include pan coating processes and the like. Any type of film coating
agent may be used for this purpose as long as it is generally used as a pharmaceutical
additive for pharmaceutical tablet coating. Film coating agents may be added alone
or in combination as appropriate in suitable amounts.
[0148] In general, the coating rate is not limited in any way as long as the tablet surface
can be coated.
[0149] Any method may be used to produce the pharmaceutical composition sdisclosed herein
or a pharmaceutical formulation thereof, as long as it allows production of pharmaceutical
formulations having the desired effects by the method described above or an appropriate
combination of methods known
per se.
Tablet Formulations
[0150] In some embodiments, for manufacture of a tablet dosage form of an enzalutamide/polymer
dispersion, an enzalutamide/polymer dispersion containing 55-65 wt% enzalutamide is
used. In some embodiments, a 60%A:HPMCAS-M dispersion is used. A useful tablet contains
approximately 70% of its total weight as 60%A:HPMCAS-M dispersion, with the remainder
inactive excipients, including a disintegrant. In some embodiments, a tablet comprises
sodium starch glycolate (e.g., EXPLOTAB
®) as a disintegrant. In some embodiments, a tablet comprises croscarmellose sodium
(e.g., AC-DI-SOL
®) as a disintegrant. In some embodiments, such tablets comprise 6 to 10 wt% disintegrant.
In some embodiments, a tablet comprises 266.67 mg 60%A:HPMCAS-M dispersion, and 30.5
mg croscarmellose sodium, in a 381 mg tablet; this corresponds to a dispersion content
of 70 wt% and a disintegrant content of 8 wt%.
[0151] In some embodiments, a tablet contains approximately 55-65% of its total weight as
60%A:HPMCAS-M dispersion, with the remainder inactive excipients, including a disintegrant.
In some embodiments, sodium starch glycolate (e.g., EXPLOTAB
®) as a disintegrant. In some embodiments, tablets contain croscarmellose sodium (e.g.,
AC-DI-SOL
®) as a disintegrant. In some embodiments, such tablets comprise 6 to 10 wt% disintegrant.
For example, in some embodiments, a tablet of this type may comprise 266.67 mg 60%A:HPMCAS-M
dispersion, and 34 mg croscarmellose sodium, in a 425 mg tablet. This corresponds
to a dispersion content of 62.7 wt% and a disintegrant content of 8 wt%.
[0152] In some embodiments, a tablet contains approximately 45-55% of its total weight as
60%A:HPMCAS-M dispersion, with the remainder inactive excipients, including a disintegrant.
In some embodiments, sodium starch glycolate (e.g., EXPLOTAB
®) or croscarmellose sodium (e.g., AC-DI-SOL
®), is used. In some embodiments, a tablet comprises 6 to 10 wt% disintegrant. For
example, in some embodiments a tablet of this type may comprise 266.67 mg 60%A:HPMCAS-M
dispersion, and 40 mg croscarmellose sodium, in a 500 mg tablet. This corresponds
to a dispersion content of 53.3 wt% and a disintegrant content of 8 wt%. Larger tablets
may be made, providing they contain 266.67 mg 60%A:HPMCAS-M dispersion, and at least
6 wt% disintegrant; in some embodiments, 8 wt% disintegrant.
[0153] Tablets comprising enzalutamide/polymer dispersions may be prepared using wet granulation,
dry granulation, or direct compression. In some embodiments, dry granulation or direct
compression is used.
[0154] In some embodiments, tablets comprise 60%A:HPMCAS-M dispersion, the disintegrant
croscarmellose sodium, and microcrystalline cellulose (
e.g., AVICEL
® PH102). In some embodiments, tablets comprise 60%A:HPMCAS-M dispersion, the disintegrant
croscarmellose sodium, microcrystalline cellulose (
e.g., AVICEL
® PH102), and lactose 318 Fast-Flo. In some embodiments, tablets comprise 60%A:HPMCAS-M
dispersion, the disintegrant croscarmellose sodium, microcrystalline cellulose (
e.g., AVICEL
® PH102), lactose 318 Fast-Flo, and silica (
e.g., CAB-O-SIL
®). An example of a 500 mg tablet formulation, manufactured by direct compression,
comprises:
53.3 wt% 60%A:HPMCAS-M dispersion;
8.0 wt% croscarmellose sodium;
19.0 wt% microcrystalline cellulose;
19.0 wt% fast-flo lactose;
0.5 wt% silica; and
0.25 wt% magnesium stearate.
[0155] It will be apparent that said exemplary tablet may be made larger or smaller, without
significant effect on performance, by making small variations in the amount of each
excipient, providing that the tablet contains sufficient 60%A:HPMCAS-M dispersion
to provide a 160 mg dose of enzalutamide. In some embodiments of larger or smaller
tables, the relative ratios of the five listed excipients remains approximately constant.
[0156] Compositions disclosed herein may be used to treat any condition which is subject
to treatment by administering enzalutamide. Accordingly, compositions can be used
to treat hyperproliferative disorders, such as prostate cancer (
e.g., hormone-refractory prostate cancer, hormone-sensitive prostate cancer), breast cancer,
and ovarian cancer, in a mammal (including a human being) by administering to a mammal
in need of such treatment a therapeutically effective amount of a composition disclosed
herein.
[0157] The
in vitro dissolution test to evaluate enhanced drug concentration in aqueous solution can
be conducted by (1) adding with agitation a sufficient quantity of control composition,
that is, the crystalline enzalutamide alone, to the
in vitro test medium, typically MFD or PBS solution, to determine the maximum concentration
of the enzalutamide achieved under the conditions of the test; (2) adding with agitation
a sufficient quantity of test composition (
e.g., the enzalutamide and polymer) in an equivalent test medium, such that if all the
enzalutamide dissolved, the theoretical concentration of enzalutamide would exceed
the observed maximum concentration of enzalutamide by a factor of about 20; and (3)
comparing the measured MDC and/or aqueous concentration versus time AUC
90 of the test composition in the test medium with the maximum concentration, and/or
the aqueous concentration versus time AUC
90 of the control composition. In conducting such a dissolution test, the amount of
test composition or control composition used is an amount such that if all of the
enzalutamide dissolved, the test enzalutamide concentration would be at least about
20-fold that of the control enzalutamide concentration.
[0158] The concentration of dissolved enzalutamide is typically measured as a function of
time by sampling the test medium and plotting enzalutamide concentration in the test
medium vs. time so that the MDC can be ascertained. The MDC is taken to be the maximum
value of dissolved enzalutamide measured over the duration of the test. The enzalutamide
concentration versus time AUC
90 is calculated by integrating the concentration versus time curve over any 90-minute
time period between the time of introduction of the composition into the aqueous use
environment (time equals zero) and 270 minutes following introduction to the use environment
(time equals 270 minutes). Typically, when the composition reaches its MDC rapidly,
in less than about 30 minutes, the time interval used to calculate AUC
90 is from time equals zero to time equals 90 minutes. However, if the AUC
90 over any 90-minute time period described above of a composition meets the criteria
of compositions described herein, then the composition is included in compositions
of this disclosure. The time period 270 min is chosen because of its physiological
relevance. Drug absorption in mammals generally occurs in the small intestine, and
the small intestinal transit time in humans is approximately 4.5 hr, or 270 min.
[0159] To avoid large enzalutamide particulates which would give an erroneous determination,
the test solution is either filtered or centrifuged. "Dissolved enzalutamide" is typically
taken as that material that either passes a 0.45 micron syringe filter or, alternatively,
the material that remains in the supernatant following centrifugation. Filtration
can be conducted using a 13 mm, 0.45 micron polyvinylidine difluoride syringe filter,
such as the filter sold by Scientific Resources under the trademark TITAN
™. Centrifugation is typically carried out in a polypropylene microcentrifuge tube
by centrifuging at 13,000 G for 60 seconds. Other similar filtration or centrifugation
methods can be employed and useful results obtained. For example, using other types
of microfilters may yield values somewhat higher or lower (+/- 10-40%) than that obtained
with the filter specified above but will still allow identification of dispersions.
It is recognized that this definition of "dissolved enzalutamide" encompasses not
only monomeric solvated enzalutamide molecules but also a wide range of species such
as polymer/enzalutamide assemblies that have submicron dimensions such as enzalutamide
aggregates, aggregates of mixtures of polymer and enzalutamide, micelles, polymeric
micelles, colloidal particles, polymer/enzalutamide complexes, and other such enzalutamide-containing
species that are present in the filtrate or supernatant in the specified dissolution
test.
[0160] The membrane permeability test described in the Examples below is carried out as
follows. A drug-permeable membrane is placed between feed and permeate reservoirs.
A sufficient quantity of test composition is added to a feed test medium and placed
in the feed reservoir, while a water immiscible organic solution, such as a 60/40
mixture of decanol/decane, is placed in the permeate reservoir. Samples are removed
from the permeate reservoir and analyzed for the concentration of drug as a function
of time. From these data the maximum flux of drug across the membrane is determined,
as is the total drug recovery, defined as the percentage of the amount of drug which
has crossed the membrane after 240 minutes. Further details of this membrane permeation
test are disclosed in
U.S. patent number 7,611,630 B2.
[0161] Nothing in this specification should be considered as limiting the scope of this
disclosure. All examples presented are representative and non-limiting. The above-described
embodiments can be modified or varied, as appreciated by those skilled in the art
in light of the above teachings. It is therefore to be understood that, within the
scope of the claims and their equivalents, the embodiments disclosed herein can be
practiced otherwise than as specifically described.
[0162] In the examples below, "Control 1" is crystalline enzalutamide, obtained as described
in
US7,709,517B2, in which this compound is called RD162'; and "Control 2" is a 4.23 mg/ml solution
of enzalutamide in LABRASOL
® (Caprylocaproyl polyoxylglycerides).
EXAMPLE 1
Preparation of amorphous enzalutamide.
[0163] Amorphous enzalutamide was prepared by spray-drying a 3 wt% solution of enzalutamide
dissolved in acetone using a lab-scale spray drier. The lab-scale drier consisted
of a 27.6-cm diameter spray drier having a diameter-to-height ratio of greater than
3. The lab-scale drier was equipped with a Schlick 2.0 pressure nozzle. Heated drying
gas (nitrogen) was delivered to the drying chamber through a perforated plate to provide
a uniform flow of drying gas through the drying chamber. To form amorphous enzalutamide,
the spray solution was delivered to the nozzle at a flow rate of 20 g/min and a pressure
of 110 psig. In the drying chamber, the atomized droplets were combined with the nitrogen
drying gas, which entered the system at a flow rate of 470 g/min and a temperature
of 100°C. The spray-dried particles, evaporated solvent, and drying gas were removed
from the spray-drying chamber at a temperature of 45°C through an outlet port and
sent to a high-efficiency cyclone separator where the spray-dried particles were collected.
The evaporated solvent and drying gas were then sent to a filter for removal of any
remaining particles before discharge.
EXAMPLE 2
Preparation of enzalutamide dispersions with concentration enhancing polymers.
[0164] A solid amorphous dispersion of 25 wt% enzalutamide and 75 wt% HPMCAS was prepared
using a spray drying process as follows. A spray solution was prepared by dissolving
1 wt% enzalutamide and 3 wt% HPMCAS-M in acetone. This solution was spray-dried using
the lab-scale spray drier described in Example 1. The solution was delivered to a
Schlick 2.0 pressure nozzle atomizer at a pressure of 114 psig. The spray solution
was delivered to the spray drier at a flow rate of 20 gm/min. The nitrogen drying
gas was delivered to the nozzle at 102°C and at a flow rate of 470 g/min. The outlet
temperature of the spray dryer was 46°C. The resulting spray dried particles were
removed using a cyclone separator. The spray drying parameters are summarized in Table
2.1.
[0165] Additional dispersions were made using various polymers and formulations, as summarized
in Table 2.1.
Table 2.1 Preparation conditions for spray-dried dispersions (SDDs) of enzalutamide
with polymers.
SDD Composition and (Dispersion Number) |
Spray Dryer |
Solids in Spray Soln. (%) |
Run Size (gA) |
Drying Gas |
Drying Gas Flow Rate (g/min) |
Spray Solution Feed Rate (g/min) |
Spray Nozzle |
Nozzle Pressure (psi) |
Tin (C°) |
Tout (C°) |
25%A HPMCAS-M SDD (DI) |
lab-scale drier |
4.0 |
6.4 |
102 |
46 |
470 |
20 |
Schlick 2.0 |
114 |
25%A PVP-VA64 SDD (D2) |
lab-scale drier |
4.0 |
1.5 |
112 |
46 |
470 |
20 |
Schlick 2.0 |
111 |
60%A HPMCAS-M SDD (D3) |
lab-scale drier |
8.0 |
9.0 |
109 |
47 |
470 |
25 |
Schlick 2.0 |
109 |
25%A HPMCAS-M SDD (D4) |
mini |
2.0 |
50 mg |
100 |
23 |
20 |
0.65 |
2-fluid* |
|
40%A HPMCAS-M SDD (D5) |
mini |
1.5 |
50 mg |
100 |
23 |
20 |
0.65 |
2-fluid |
|
60%A HPMCAS-M SDD (D6) |
mini |
1.0 |
50 mg |
100 |
23 |
20 |
0.65 |
2-fluid |
|
80%A HPMCAS-M SDD (D7) |
mini |
1.0 |
50 mg |
100 |
23 |
20 |
0.65 |
2-fluid |
|
25%A HPMCAS-H SDD (D8) |
mini |
2.0 |
50 mg |
100 |
23 |
20 |
0.65 |
2-fluid |
|
40%A HPMCAS-H SDD (D9) |
mini |
1.5 |
50 mg |
100 |
23 |
20 |
0.65 |
2-fluid |
|
40%A PVP VA64 SDD (D10) |
mini |
1.0 |
50 mg |
100 |
23 |
20 |
0.65 |
2-fluid |
|
25%A HPMCAS-MG SDD (D11) |
lab-scale drier |
8.0 |
10 |
107 |
44 |
510 |
22 |
Schlick 2.0 |
106 |
60%A HPMCAS-MG SDD (D12) |
lab-scale drier |
8.0 |
20 |
109 |
55 |
490 |
22 |
Schlick 2.0 |
104 |
60%A HPMCAS-MG SDD (D13) |
PSD-1 |
18.0 |
900 |
99 |
30 |
1750 |
230 |
Spray Systems SK79-16 |
330-370 |
60%A HPMC-E3Prem SDD (D14) |
mini |
1.5 |
100 mg |
105 |
23 |
20 |
0.65 |
2-fluid |
|
60%A HPMCP-55 SDD (D15) |
mini |
1.5 |
100 mg |
105 |
23 |
20 |
0.65 |
2-fluid |
|
60%A Eudragit-L100 SDD (D16) |
mini |
1.5 |
100 mg |
105 |
23 |
20 |
0.65 |
2-fluid |
|
*2-fluid nozzle is a Spraying Systems 1650 liquid, 64 air cap, available from Spraying
Systems Co.®, Wheaton, IL The "mini" spray-dryer consisted of an atomizer in the top cap of a
vertically oriented 11-cm diameter stainless steel pipe. |
The PSD-1 spray dryer is a Niro type XP Portable Spray-Dryer with a Liquid-Feed Process
Vessel. |
EXAMPLE 3
[0166] PXRD Diffractograms of spray-dried amorphous drug and enzalutamide/polymer dispersions,
and bulk crystalline drug.
[0167] The dispersions were analyzed by powder X-ray diffraction (PXRD) using an AXS D8
Advance PXRD measuring device (Bruker, Inc. of Madison, Wisconsin) using the following
procedure. Samples (approximately 30 to 100 mg) were packed in Lucite sample cups
fitted with Si(511) plates as the bottom of the cup to give no background signal.
Samples were spun in the ϕ plane at a rate of 30 rpm to minimize crystal orientation
effects. The x-ray source (KCu
α, λ = 1.54 Å) was operated at a voltage of 45 kV and a current of 3 mA. Data for each
sample were collected over a period of 120 minutes in continuous detector scan mode
at a scan speed of 8 seconds/step and a step size of 0.04°/step. Diffractograms were
collected over the 20 range of 4° to 40°.
[0168] The diffractograms in
FIG. 1 demonstrate that spray-dried enzalutamide, a 25%A:PVP-VA64 SDD, a 25%A:HPMCAS-M SDD,
and a 60%A:HPMCAS-MG SDD all are completely amorphous, characterized by the absence
of sharp crystallographic x-ray peaks.
EXAMPLE 4
[0169] In vitro dissolution of enzalutamide formulations and controls.
[0170] In vitro dissolution studies were carried out for a subset of the formulations whose manufacture
is described in Example 2. These dissolution studies utilized the Microcentrifuge
Dissolution Test described above. The formulations tested were amorphous enzalutamide,
various enzalutamide/Polymer spray-dried dispersions (SDDs), and Controls 1 and 2.
A dose of 200 µg/ml enzalutamide was chosen, in order to be 10 to 20 times higher
than the solubility of crystalline enzalutamide, in order to evaluate the ability
of formulations to achieve enzalutamide supersaturation and sustainment of supersaturation
relative to crystalline drug. The dissolution medium was Model Fasted Duodenal Solution
(MFDS), which consisted of an aqueous solution comprising 20 mM Na2HPO4, 47 mM KH2PO4,
87 mM NaCl, 0.2 mM KCl, at pH 6.5 and 290 mOsm/kg, additionally containing 7.3 mM
sodium taurocholic acid and 1.4 mM of 1-palmitoyl-2-oleyl-sn-glycero-3-phosphocholine.
Table 4.1. Microcentrifuge dissolution test data for enzalutamide spray-dried dispersions
(SDDs), amorphous enzalutamide, and controls.
|
Enzalutamide Concentration (µg/ml) |
|
0 min |
4min |
10 min |
20 min |
40 min |
90 min |
1200 min |
Formulation (Dispersion #) |
|
|
|
|
|
|
|
25%A HPMCAS-M SDD (D4) |
0.0 |
150 |
150 |
150 |
160 |
160 |
100 |
40%A HPMCAS-M SDD (D5) |
0.0 |
110 |
86 |
93 |
110 |
120 |
100 |
60%A HPMCAS-M SDD (D6) |
0.0 |
75 |
78 |
93 |
100 |
110 |
100 |
80%A HPMCAS-M SDD (D7) |
0.0 |
87 |
100 |
130 |
130 |
130 |
40 |
25%A HPMCAS-H SDD (D8) |
0.0 |
110 |
110 |
110 |
110 |
110 |
110 |
40%A HPMCAS-H SDD (D9) |
0.0 |
100 |
110 |
110 |
110 |
110 |
110 |
25%A PVP VA64 SDD (D2) |
0.19 |
110 |
110 |
110 |
110 |
110 |
Not Done |
40%A PVP VA64 SDD (D10) |
0.0 |
100 |
100 |
110 |
110 |
110 |
40 |
Amorphous (spray-dried) enzalutamide - BREC-0035-09B(V) |
0.0 |
61 |
100 |
100 |
110 |
120 |
30 |
Crystalline enzalutamide (Control 1) |
0.0 |
1 |
3 |
5 |
6 |
7 |
9 |
4.23 mgA/mL enzalutamide in Labrasol (Control 2) |
0.0 |
170 |
180 |
170 |
170 |
170 |
190 |
Table 4.2. Microcentrifuge dissolution data (C
max and AUC
90) for enzalutamide spray-dried dispersions (SDDs), amorphous enzalutamide, and controls.
Sample Tested (Dispersion #) |
Cmax, 90a (µg/mL) |
AUC90b (min*µg/mL) |
25%A HPMCAS-M SDD (D4) |
160 |
13,600 |
40%A HPMCAS-M SDD (D5) |
120 |
9,200 |
60%A HPMCAS-M SDD (D6) |
110 |
8,500 |
80%A HPMCAS-M SDD (D7) |
130 |
11,200 |
25%A HPMCAS-H SDD (D8) |
110 |
9,800 |
40%A HPMCAS-H SDD (D9) |
110 |
9,700 |
25%A PVP VA64 SDD (D2) |
110 |
9,700 |
40%A PVP VA64 SDD (D10) |
110 |
9,800 |
Amorphous (spray-dried) enzalutamide |
120 |
9,500 |
BREC-0035-09B(V) |
Crystalline enzalutamide (Control 1) |
7 |
500 |
4.23 mgA/mL enzalutamide in Labrasol (Control 2) |
180 |
15,200 |
a Cmax, 90 min = maximum drug concentration through 90 minutes.
b AUC90 min = area under the curve at 90 minutes. |
[0171] The data in Tables 4.1 and 4.2 demonstrate that amorphous enzalutamide, a Labrasol
solution of enzalutamide, and various spray-dried dispersions (SDDs) of enzalutamide
with the polymers HPMCAS and PVP-VA64 all exhibit a large enzalutamide supersaturation
when dissolved, relative to crystalline enzalutamide, in addition to the ability to
maintain this supersaturation.
[0172] The AUC
90 values for the SDDs in Table 4.2 are all greater than 5 times the AUC
90 for crystalline enzalutamide (Control 1). The C
max 90 values for the SDDs in Table 4.2 are all greater than 5 times the C
max 90 for crystalline enzalutamide (Control 1).
EXAMPLE 5
[0173] Glass Transition Temperatures (Tgs) as a function of relative humidity.
[0174] Below Tg, an amorphous material is said to be in a "glassy" state in which molecular
mobility is severely restricted. Above Tg, an amorphous material is in a state in
which molecular mobility is increased significantly relative to the "glassy" state.
Glass transition temperatures Tg were determined for amorphous enzalutamide, and for
spray-dried dispersions (SDDs) of enzalutamide with HPMCAS-M or PVP-VA64, at <5% and
75% relative humidity (RH). Tgs were determined by modulated differential scanning
calorimetry (mDSC), utilizing the following protocol. Samples (about 5 mg) were equilibrated
at the desired RH overnight in an environmental chamber at ambient temperature. The
samples were then loaded into pans and sealed inside the environmental chamber. The
samples were analyzed on a Q1000 mDSC (TA Instruments, New Castle, Delaware). Samples
were typically scanned over the temperature range of -40°C to 180°C, at a scan rate
of 2.5°C/min, and a modulation rate of ±1.5°C/min. The data sampling interval was
0.20 sec/point. The Tg was calculated based on half height.
[0175] Tg data are presented in Table 5.1. As is generally observed, Tg decreases with increasing
RH because the amorphous material is plasticized by incorporated water vapor as the
%RH increases. Generally, Tg decreases approximately linearly as %RH increases.
Table 5. 1. T
g as a Function of Relative Humidity (RH) for enzalutamide SDDs
SDD Formulation (Dispersion #) |
Tg (°C) |
<5% RH |
75% RH |
Amorphous (spray-dried) MDV-3100 |
88.5 |
64.0 |
80%A HPMCAS-M (D7) |
90.4 |
59.3 |
60%A HPMCAS-M (D6) |
87.1 |
52.0 |
25%A HPMCAS-M (D4) |
93.1 |
50.7 |
40%A HPMCAS-M (D5) |
91.3 |
51.9 |
25%A HPMCAS-H (D8) |
94.0 |
51.2 |
40%A HPMCAS-H (D9) |
91.1 |
51.2 |
40%A PVP VA64 (D10) |
103.3 |
34.9 |
25%A PVP VA64 (D2) |
105.5 |
30.8 |
[0176] In order to assure that a dispersion will maintain its amorphous character (and thus
its capacity to supersaturate a solution), it is desirable to choose a dispersion
composition whose Tg is above the temperatures at which the product may be stored.
If the product is stored at a temperature above its Tg, the amorphous drug within
the dispersion will be relatively mobile and can diffuse into drug-rich patches and
can crystallize. This is undesirable. Typical storage challenge conditions dictated
by the US Food and Drug Administration are 40°C/25%RH, 50°C/20%RH, 30°C/60%RH, and
40°C/75%RH. At 75% RH, 100%A spray-dried enzalutamide (pure amorphous enzalutamide)
and the enzalutamide/HPMCAS SDDs exhibit Tgs which are above each of the FDA challenge
conditions (30°C, 40°C, 50°C). This is highly desirable, and these materials will
not need protective packaging to protect them in high humidity environments.
[0177] The 25%A and 40%A enzalutamide dispersions with the concentration-enhancing polymer
PVP-VA64 exhibit Tgs at 30.8°C and 34.9°C, respectively. If enzalutamide/PVP-VA dispersions
encounter storage conditions above their Tgs (such as 40°C), they can possibly undergo
undesirable change. Thus enzalutamide/PVP-VA dispersions should be stored in protective
packaging (such as foil-foil blisters) which prevents ingress of water vapor into
the dispersion.
[0178] Amorphous enzalutamide and MCV3100/HPMCAS dispersions have high Tgs.
EXAMPLE 6
[0179] Particle morphology of amorphous enzalutamide, and SDDs of enzalutamide with HPMCAS
and PVP-VA.
[0180] Scanning electron micrographs (SEMs) were obtained for samples before and after 1
day exposure to a 50°C/75%RH environment. These SEMs are presented in Figure 2. After
exposure of these samples to this challenging storage environment, no crystals were
seen, indicative of the ability of these samples to maintain the amorphous character
of enzalutamide. For three of the four samples, the 1 day storage challenge resulted
in fusion of particles to form larger particles (100%A Spray-dried, 80%A:HPMCAS-MG,
40%A:PVPVA), with this effect being extreme for 40%A:PVPVA. Thus these three embodiments
would require controlled storage conditions to maintain their efficacy. The 60%A:HPMCAS-MG
SDD did not undergo fusion to larger particles over the 1 day storage challenge, and
would not require controlled storage conditions to maintain efficacy.
[0181] In some embodiments, enzalutamide/HPMCAS SDDs have a drug content less than 80%.
EXAMPLE 7.
[0182] Capacity of enzalutamide SDDs to maintain supersaturation after suspension in aqueous
media.
[0183] Drugs and drug formulations are sometimes dosed as aqueous suspensions, particularly
for pediatric patients. The ability of various enzalutamide SDDs to retain their ability
to maintain drug supersaturation
in vitro was assessed by using the microcentrifuge dissolution test to measure drug dissolution
after suspension in 0.5% methylcellulose in water for 2 hours. Methylcellulose is
a standard viscosifying suspending agent which is used to maintain drug particles
in suspension in oral suspension dosage forms. The table below presents
in vitro dissolution performance before and after suspension in 0.5% methylcellulose.
Table 7.1.
In vitro dissolution behavior of SDDs before and after suspension for 2 hr in aqueous 0.5%
methylcellulose.
Sample (Dispersion #) |
Cmax 90 (mcg/ml) |
AUC90 (min•mcg/ml) |
AUC90 % of 0 Hr Value |
25%A:PVPVA64 (D2), 0 hr |
130 |
9,600 |
- |
25%A:PVPVA64 (D2), 2 hr |
130 |
7,100 |
74 |
25%A:HPMCAS-MG (D17), 0 hr |
140 |
12,200 |
- |
25%A:HPMCAS-MG (D17), 2 hr |
140 |
12,400 |
102 |
60%A:HPMCAS-MG (D3), 0 hr |
120 |
9,500 |
- |
60%A:HPMCAS-MG (D3), 2 hr |
120 |
9,600 |
101 |
Amorphous enzalutamide, 0 hr |
110 |
8,900 |
- |
Amorphous enzalutamide, 2 hr |
100 |
8,800 |
99 |
[0184] Amorphous enzalutamide and the SDDs with HPMCAS-MG maintained their ability to effect
sustained supersaturation after suspension for 2 hr in aqueous methylcellulose. Incubation
of a 25%A:PVPVA64 SDD for 2 hr in aqueous methylcellulose resulted in a 26% loss in
supersaturation capacity, as measured by AUC
90.
EXAMPLE 8
Membrane-permeation (MP) Dissolution test.
[0185] The MP-dissolution test, whose details are described above, measures a capability
of low solubility drug formulations which is not measured in the microcentrifuge dissolution
test utilized in Examples 4 and 7. This test mimics an aspect of the
in vivo situation in the GI tract. In the
in vivo situation, it is generally accepted that free drug in solution (
i.e. individual drug molecules dissolved in the GI medium without association with formulation
components) is the species which is absorbed across the gastrointestinal wall into
the bloodstream. As free drug is absorbed, the formulation must be capable of supplying
more free drug for absorption. The membrane permeation test measures the amount of
drug which crosses a polymeric membrane (as a model of the GI wall) over time, and
thus reflects the ability of the formulation to resupply free drug in solution to
be further passively transported across the polymeric membrane. In Table 8.1 below,
Maximum Flux is the maximum observed rate of permeation across the polymeric membrane,
based on the slope of the absorption curve over any period within the 240 minute duration
of the experiment, normalized for membrane area. Total drug recovery is the % of the
initial drug dose which has crossed the membrane when the test ended at 240 minutes.
Table 8.1. Membrane permeation tests for various enzalutamide SDDs and controls.
Sample (Dispersion #) |
Total Drug Recovery (%) |
Maximum Flux (µg/cm2×min) |
25%A HPMCAS-M SDD (D4) |
87 |
3.3 |
40%A HPMCAS-M SDD (D5) |
83 |
2.8 |
60%A HPMCAS-M SDD (D6) |
87 |
2.8 |
80%A HPMCAS-M SDD (D7) |
69 |
2.0 |
25%A HPMCAS-H SDD (D8) |
91 |
3.3 |
40%A HPMCAS-H SDD (D9) |
86 |
2.6 |
25%A:PVP-VA64 SDD (D2) |
94 |
4.8 |
40%A PVP VA64 SDD (D10) |
85 |
2.8 |
Amorphous (spray-dried) enzalutamide |
56 |
1.3 |
Crystalline enzalutamide (Control 1) |
28 |
0.4 |
[0186] These data (Table 8.1) demonstrate that amorphous enzalutamide and the SDDs with
PVP-VA64 and HPMCAS are able to resupply free drug as free drug is transported across
the polymeric membrane, at a rate (flux) and an extent superior to crystalline enzalutamide
(Control 1). The SDDs perform better than amorphous enzalutamide in this respect.
The lesser capacity of amorphous enzalutamide is likely due to slower dissolution
than the SDDs, due to higher hydrophobicity. The data in Table 8.1 also indicate that
HPMCAS-SDDs at 25%A, 40%A, and 60%A are superior to HPMCAS-SDDs at 80%A. Accordingly,
in some embodiments enzalutamide/HPMCAS SDDs have an enzalutamide content less than
80%A. The data in Table 8.1 also indicate that enzalutamide SDDs with the M- and H-grades
of HPMCAS perform equally well.
EXAMPLE 9
enzalutamide SDDs with the polymers HPMC, HPMCP, and EUDRAGIT-L100®.
[0187] A 60%A enzalutamide SDD was prepared with each of three polymers:
hydroxypropylmethylcellulose (E3 Prem grade) (HPMC E3 Prem);
hydroxymethylcellulose phthalate (grade with nominal phthalate content of 31 %) (HPMCP-55);
anionic 1:1 copolymer of methacrylic acid and methylmethacrylate (EUDRAGIT L100®). 60%A SDDs were prepared with these three polymers, using the mini spray drier,
and the conditions shown in Table 2. Each of the three 60%A SDDs exhibited no sharp
features in their PXRD diffactograms, and were thus amorphous.
[0188] The three 60% SDDs were tested in the
in vitro microcentrifuge dissolution test, in addition to a 60%A HPMCAS-M dispersion and Control
1 (crystalline enzalutamide). Table 9.1 presents the dissolution data, and Table 9.2
presents C
max and AUC
90 values derived from these dissolution data. All four SDDs exhibited enzalutamide
supersaturation (C
max) and sustained supersaturation (AUC
90), relative to crystalline drug (Tables 9.1 and 9.2).
[0189] Table 9.1 shows that the enzalutamide SDDs with HPMCP-55 and with EUDRAGIT L100
® exhibit decreased enzalutamide concentration in solution after the 40 minute time
point, while SDDs with HPMCAS and HPMC E3 Prem do not. This is reflected in the
in vitro AUC
90 data shown in Table 9.2.
Table 9. 1.
In vitro dissolution (microcentrifuge dissolution test) of various enzalutamide SDDs and crystalline
enzalutamide.
Time (min) |
Average µg/mL |
60%A:HPMC AS-M (Disp D12) |
60%A:HP MC (Disp D14) |
60%A:HPMCP (Disp D15) |
60%A:Eudra git (Disp D16) |
Crystalline enzalutamide |
0 |
0.00 |
0.00 |
0.00 |
0.00 |
0.32 |
4 |
77.69 |
108.33 |
90.21 |
57.80 |
5.23 |
10 |
84.96 |
108.65 |
88.19 |
68.93 |
8.04 |
20 |
93.53 |
109.16 |
100.48 |
81.42 |
7.69 |
40 |
102.73 |
109.70 |
109.37 |
91.94 |
8.65 |
90 |
108.32 |
104.10 |
36.07 |
34.19 |
9.14 |
1200 |
58.82 |
36.29 |
21.75 |
23.66 |
12.12 |
Table 9.2. C
max and AUC
90 values for various enzalutamide SDDs and crystalline enzalutamide (microcentrifuge
dissolution test).
Sample (Dispersion #) |
Cmax, 90 mina (µg/mL) |
AUC90 minb (min*µg/mL) |
60%A HPMCAS-M SDD (D12) |
110 |
8,800 |
60%A HPMC E3 Prem SDD (D14) |
110 |
9,500 |
60%A HPMCP-55 SDD (D15) |
110 |
7,400 |
60%A Eudragit-L100 SDD (D16) |
90 |
6,100 |
Crystalline enzalutamide (Control 1) |
10 |
740 |
|
a Cmax, 90 min = maximum drug concentration through 90 minutes. |
|
b AUC90 min = area under the curve at 90 minutes. |
[0190] The membrane permeation test was carried out for 60%A enzalutamide SDDs with HPMCAS-M,
HPMC E3 Prem, HPMCP-55, and Eudragit-L100, as described in Example 8. The data in
Table 9.3 demonstrate that each of the four SDDs exhibit higher transmembrane flux
than crystalline enzalutamide, and have the capacity to replace absorbed free drug.
The data in Table 9.3 also demonstrate that the SDDs with HPMCAS-M and HPMC E3 Prem
have greater transmembrane flux and thus greater capacity to replace absorbed free
drug than do SDDs with HPMCP-55 and Eudragit-L100.
Table 9.3. Membrane-Permeation Test Results for SDDs and Crystalline enzalutamide
Formulation (Dispersion #) |
Maximum Flux (µg/cm2-min) |
Total Drug Recovery (%) |
60%A:HPMCAS-MG SDD (D12) |
3.7 |
81 |
60%A:HPMC E3 Prem SDD (D14) |
2.1 |
75 |
60%A:HPMCP HP55 SDD (D15) |
1.6 |
62 |
60%A:Eudragit L100 SDD (D16) |
1.7 |
55 |
Crystalline enzalutamide (Control 1) |
0.4 |
35 |
EXAMPLE 10
[0191] One Kilo-scale Batch of 60%A:HPMCAS-M SDD (Dispersion D18). A large batch of 60%A:HPMCAS-M
SDD was prepared using a PSD-1 Spray-drier. Spray-drying conditions are presented
in Table 10.1 (and in Table 2.1). Powder properties for the spray-dried material after
tray-drying are also presented in Table 10.1.
Table 10.1. Spray-drying conditions and powder properties for 1 kilo-scale lot of
60%A:HPMCAS-M enzalutamide SDD (Dispersion D18).
SPRAY-DRYING CONDITIONS |
Solids in spray solution |
18.0% |
Run size |
900 g enzalutamide |
Run time |
36 min |
Drying gas Tin |
100±10 °C |
Drying gas Tout |
30±5 °C |
Drying gas flow rate |
1750±300 g/min |
Spray solution feed rate |
230±30 g/min |
Spray Systems SK79-16 nozzle pressure |
370±100 psi |
SDD PARTICLE PROPERTIES |
Powder bulk density |
0.33 g/cc |
Powder tapped density |
0.42 g/cc |
Volume Mean Diameter |
30 µm |
DV10 |
9 µm |
DV50 |
25 µm |
DV90 |
59 µm |
Span [(DV90-DV10)/DV50] |
2.0 (unit-less) |
EXAMPLE 11
Preparation of enzalutamide drug/polymer dispersions by hot melt extrusion (HME).
[0192] HME dispersions were produced using dry-powder blends of enzalutamide and HPMCAS-M
or PVP VA at three different drug loadings: 25%A, 40%A, and 60%A. Using a volumetric
powder feeder, the blends were fed at a controlled rate to a 7.5-mm MP&R
™ Model ME7.5 Twin-Screw Extruder (MP&R, Hackensack, NJ). The extruder is capable of
reaching 210°C and is equipped with a 1/8-inch cylindrical die. Extrudates were milled
by hand using a mortar and pestle for subsequent testing. For a variety of extrusion
runs, Table 11.1 presents the extrusion temperature, the crystallinity of the dispersion
(amorphous is desired), and the glass transition temperature (Tg) measured by DSC.
Table 1 1. 1 . Extrusion temperature, and extrudate properties after milling with
mortar and pestle
Formulation (Dispersion #) |
Control Temp.a (°C) |
Crystallinity by PXRD & Differential Scanning Calorimetry |
Tg (°C) |
25%A:PVP-VA64 (D19) |
150 |
Amorphous |
104 |
25%A:PVP-VA64 (D20) |
195 |
Amorphous |
104 |
40%A:PVP-VA64 (D21) |
195 |
Amorphous |
103 |
60%A:PVP-VA64 (D22) |
170 |
Crystalline |
103 |
60%A:PVP-VA64 (D23) |
190 |
Amorphous |
99 |
25%A:HPMCAS-M (D24) |
170 |
Partially Crystalline* |
93 |
25%A:HPMCAS-M (D25) |
190 |
Partially Crystalline |
95 |
25%A:HPMCAS-M (D26) |
195 |
Partially Crystalline |
95 |
40%A:HPMCAS-M (D28) |
195 |
Partially Crystalline |
90 |
40%A:HPMCAS-M (hot plate)b (D29) |
220 |
Amorphous |
88 |
60%A:HPMCAS-M (D30) |
170 |
Crystalline |
-- |
* Partially Crystalline means that while a Tg was observed, a crystalline drug melt
peak was also observed. The PXRD showed evidence that some crystals were present.
Controls were not performed to identify the amount of drug that was amorphous or crystalline. |
a: This is the control temperature for the terminal extruder barrels and the die.
The actual product temperature is higher in the extruder due to additional frictional
heat. It is difficult to measure the actual product temperature but was done using
a temperature probe during the preparation of Dispersion D26. In that case, the extruder
control temperature was 195°C and the product temperature was measured at approximately
215°C.
b: This sample was prepared on a hot plate at a temperature higher than was possible
using the MP&R extruder. |
[0193] The results in Table 11.1 demonstrate that amorphous enzalutamide:PVP-VA64 dispersions
can be prepared by HME at 25%A and 40%A. Amorphous 60%A:PVP-VA64 dispersions can also
be prepared if the temperature is held at 190 °C. enzalutamide dispersions with HPMCAS-M
were crystalline or partially crystalline, when prepared at the temperatures possible
on the extruder used. Preparation at 220 °C on a hot plate resulted in an amorphous
40%A:HPMCAS-M dispersion. Preparation of HME dispersions of MDC3100 with HPMCAS at
temperatures above 200 °C is non-optimal because HPMCAS degrades in this temperature
range.
[0194] Dissolution of enzalutamide/polymer dispersions prepared by HME was evaluated using
the microcentrifuge dissolution test, after dispersions were sieved to give various
particle size ranges. Dissolution results are presented in Table 11.2.
Table 11.2. Microcentrifuge dissolution test results for enzalutamide dispersions
prepared by hot melt extrusion. The total amount of sample dosed was 200 mcg per ml
of dissolution medium. The dissolution medium was Model Fasted Duodenal Solution (MFDS)
(0.5 wt% NaTC/POPC in PBS, pH 6.5, 290 mOsm). Results for SDDs of similar composition
are presented for comparison.
Sample (Dispersion #) |
Cmax90a (µg/mL) |
AUC90b (min*pg/mL) |
25%A HPMCAS-M SDD (D11) |
130 |
11,000 |
25%A HPMCAS-M HME dispersion (150 to 355 µm) (D26) |
110 |
6,000 |
25%A HPMCAS-M HME dispersion (50 to 150 µm) (D26) |
140 |
10,700 |
25%A HPMCAS-M HME dispersion (<50 µm) (D26) |
140 |
11,600 |
|
|
|
40%A HPMCAS-MG SDD (D31) |
110 |
9,100 |
40%A HPMCAS-MG HME dispersion (150 to 355 µm) (D28) |
40 |
2,300 |
40%A HPMCAS-MG HME dispersion (50 to 150 µm) (D28) |
80 |
6,200 |
40%A HPMCAS-MG HME dispersion (< 50 µm) (D28) |
110 |
8,800 |
|
|
|
25%A PVP VA SDD (D2) |
130 |
9,700 |
25%A PVP VA HME dispersion (150 to 355 µm) (D20) |
90 |
6,400 |
25%A PVP VA HME dispersion (50 to 150 µm) (D20) |
110 |
7,900 |
25%A PVP VA HME dispersion (< 50 µm) (D20) |
130 |
9,000 |
|
|
|
40%A PVP VA SDD (D10) |
110 |
7,500 |
40%A PVP VA HME dispersion (150 to 355 µm) (D21) |
60 |
4,700 |
40%A PVP VA HME dispersion (50 to 150 µm) (D21) |
100 |
8,200 |
40%A PVP VA HME dispersion (< 50 µm) (D21) |
130 |
8,500 |
|
a Cmax90 = maximum drug concentration through 90 minutes |
|
b AUC90 = area under the time/concentration curve at 90 minutes. |
[0195] The data in Table 11.2 demonstrate that there is a particle size effect for supersaturation
using HME-prepared dispersions of enzalutamide. HME dispersions with HPMCAS or PVP-VA,
with a particle size <50µm, are as efficacious as SDDs of identical composition. In
some cases, HME dispersions with particle size 50-150 µm are also similar in efficacy
to SDDs of identical composition. HME dispersions with particle size 150-355 µm are
generally less efficacious than SDDs in achieving and maintaining supersaturation
of enzalutamide.
EXAMPLE 12
Relative bioavailability of enzalutamide amorphous drug and spray-dried dispersion
formulations in rats.
[0196] Five groups of jugular vein-cannulated CD
® rats (n=6 per group) were dosed five enzalutamide formulations by oral gavage, at
a dose of 20 mg/kg, in a volume of 2 ml/kg. Blood samples were obtained at 1, 3, 6,
12, 24, 36, 48, 60, and 72 hr post-dose.
[0197] The analytes, enzalutamide, MDPC0002, and MDPC0001 and internal standards (IS), N-
13CD
3-enzalutamide, MDPC0002-
13CD
3, and MDPC0001-
13CD
3 were extracted from 0.050 µL of rat plasma by a liquid-liquid extraction procedure.
Internal standard working solution (25.0 µL) was added to all wells except the matrix
blank. A 25.0-µL volume of acetonitrile was added all matrix blank samples. After
adding 200 µL of 5% sodium bicarbonate in water buffer solution, the plate was vortexed
for approximately 10 seconds. A Tomtec Quadra 96-well pipettor was used to add 1.050
mL of methyl tert-butyl ether (MTBE) to all wells, mixed, and approximately 1.00 mL
of the organic layer was transferred to a clean 96-well plate. The samples were evaporated
under heated nitrogen and reconstituted with 250 µL of 0.1% formic acid in methanol/water
(40:60, v/v). The plate was covered and gently vortexed for approximately 10 seconds.
The extracts were chromatographed under reverse phase conditions on an ACE 5 C18 HPLC
5 µm, 2.1 × 30 mm column. The compounds were detected and quantified by tandem mass
spectrometry in positive ion mode on an MDS Sciex API 3000 equipped with a Turbo IONSPRAY
® probe. Calibration curves were obtained by performing a linear regression (weighted
1/x
2) of the data from the calibration standards.
[0198] Plasma enzalutamide concentration vs. time curves were prepared, and values for the
following parameters were determined. C
max max is the highest enzalutamide concentration observed for each rat. Tmax is the
time that C
max is first achieved. AUC
0-72 is the area under the plasma enzalutamide concentration vs. time plot out to 72 hr
post-dosing. Pharmacokinetic data for the formulations studied are presented in Table
12.1.
Table 12.1. Mean pharmacokinetic parameters (± standard deviation) in rats for enzalutamide
formulations. Crystalline drug, amorphous drug, and SDDs were dosed in suspension
in a 0.5% methylcellulose vehicle.
enzalutamide Formulation |
Cmax (µg/ml) |
Tmax (hr) |
AUC 0-72 (µg•hr/ml) |
Crystalline drug (Control 1) |
3.53±0.66 |
6.05±0.92 |
72.7±18.4 |
Solution in Labrasol (4.23 mg/ml) (Control 2) |
10.1±1.38 |
5.86±0.99 |
201±42.9 |
Spray-dried amorphous drug |
7.14±0.97 |
2.55±0.57 |
121±16.4 |
25%A:HPMCAS-M |
10.8±1.63 |
2.96±0.65 |
171±40.2 |
60%A:HPMCAS-M |
10.3±1.66 |
3.30±0.77 |
196±39.6 |
[0199] These data demonstrate that dosing a suspension of amorphous enzalutamide results
in a higher C
max and AUC than after dosing a suspension of crystalline drug (Control 1). Even greater
improvement is observed after dosing a Labrasol solution, a 25%A:HPMCAS-M SDD, or
a 60%A:HPMCAS-M SDD.
[0200] The AUC
0-72 data demonstrate that the 25%A:HPMCAS-M and 60%A:HPMCAS-M dispersions give higher
bioavailability than the spray-dried amorphous drug. The 60%A:HPMCAS-M dispersion
is equivalent in C
max and AUC
0-72 to the Labrasol solution.
EXAMPLE 13
Relative bioavailability of enzalutamide amorphous drug and Hot Melt Extrusion (HME)
dispersion formulations in rats.
[0201] Six groups of jugular vein-cannulated CD
® rats (n=6 per group) were dosed six enzalutamide formulations by oral gavage, at
a dose of 20 mg/kg, in a volume of 2 ml/kg, with the exception of one group which
was dosed intravenously via tail vein. Blood samples were obtained at 1, 3, 6, 12,
24, 36, 48, 60, and 72 hr post-dose.
[0202] The analytes, enzalutamide, MDPC0002, and MDPC0001 and internal standards (IS), N-
13CD
3-enzalutamide, MDPC0002-
13CD
3, and MDPC0001-
13CD
3 were extracted from 0.050 µL of rat plasma by a liquid-liquid extraction procedure.
Internal standard working solution (25.0 µL) was added to all wells except the matrix
blank. A 25.0-µL volume of acetonitrile was added all matrix blank samples. After
adding 200 µL of 5% sodium bicarbonate in water buffer solution, the plate was vortexed
for approximately 10 seconds. A Tomtec Quadra 96-well pipettor was used to add 1.050
mL of methyl tert-butyl ether (MTBE) to all wells, mixed, and approximately 1.00 mL
of the organic layer was transferred to a clean 96-well plate. The samples were evaporated
under heated nitrogen and reconstituted with 250 µL of 0.1% formic acid in methanol/water
(40:60, v/v). The plate was covered and gently vortexed for approximately 10 seconds.
The extracts were chromatographed under reverse phase conditions on an ACE 5 C18 HPLC
5 µm, 2.1 × 30 mm column. The compounds were detected and quantified by tandem mass
spectrometry in positive ion mode on an MDS Sciex API 3000 equipped with a Turbo IONSPRAY
® probe. Calibration curves were obtained by performing a linear regression (weighted
1/x
2) of the data from the calibration standards.
[0203] Plasma enzalutamide concentration vs. time curves were prepared, and values for the
following parameters were determined. C
max is the highest enzalutamide concentration observed for each rat. Tmax is the time
that C
max is first achieved. AUC
0-72 is the area under the plasma enzalutamide concentration vs. time plot out to 72 hr
post-dosing. Pharmacokinetic data for the formulations studied are presented in Table
13.1.
Table 13.1. Mean AUC
0-inf and % Bioavailability in rats for enzalutamide formulations. Crystalline drug, amorphous
drug, and HME dispersion formulations were dosed in suspension in a 0.5% methylcellulose
vehicle. For intravenous dosing, enzalutamide was dissolved in 50% polyethyleneglycol-400/20%
ethanol (200 proof)/30% sterile water for injection (USP), and was dosed via tail
vein.
enzalutamide Formulation |
Mean AUC 0-inf (µg•hr/ml) |
Bioavailability (%)* |
Intravenous (IV) |
231 |
- |
Crystalline drug (Control 1) |
62.6 |
27.1 |
Solution in Labrasol (4.23 mg/ml) (Control 2) |
225 |
97.4 |
Spray-dried amorphous drug |
132 |
57.1 |
25%A:PVP-VA64 HME dispersion |
167 |
72.3 |
60%A: PVP-VA64 HME dispersion |
142 |
61.5 |
25%A:HPMCAS HME dispersion |
187 |
81.0 |
* Bioavailability = Mean AUC 0-inf/IV Mean AUC 0-inf. For example, 62.6/231 = 27.1% |
[0204] These data demonstrate that dosing a suspension of amorphous enzalutamide results
in a higher AUC than after dosing a suspension of crystalline drug (Control 1). Even
greater improvement is observed after dosing HME dispersions of enzalutamide with
the polymers PVP-VA64 and HPMCAS. The HME dispersion with HPMCAS gave a higher bioavailability
than the dispersions with PVP-VA64.
EXAMPLE 14
Tablets containing enzalutamide/Polymer spray-dried dispersions.
[0205] Enzalutamide tablets were prepared by direct compression, from the formulation in
Table 14.1.
Table 14.1. Tablet composition.
Component |
Quantity (mg/tablet) |
60%A enzalutamide/HPMCAS-M SDD |
266.7 |
Colloid silicon dioxide (Cab-O-Sil M5P) |
2.5 |
Microcrystalline cellulose (Avicel PH102) |
94.8 |
Lactose monohydrate, spray-dried (Fast Flo 316) |
94.7 |
Croscarmellose sodium (Ac-Di-Sol) |
40.0 |
Magnesium stearate |
1.3 |
TOTAL |
500.0 |
[0206] The following procedure was used to form the tablets. First, the solid amorphous
dispersion was added to an appropriate container. A portion of the solid amorphous
dispersion (approximately 3 to 10 times the weight of colloidal silicon dioxide) was
added to an LDPE bag containing the colloidal silicon dioxide. The SDD was manually
mixed with the silicon dioxide for approximately 2 minutes. The mixture was passed
through a No. 30 mesh screen, and added to the container. The mixture was blended
for 15 minutes at 12 rpm using a Turbula mixer. Microcrystalline cellulose, lactose
monohydrate, and croscarmellose sodium were added to the container, and the mixture
was blended for 15 minutes.
[0207] Next, the mixture was subjected to high-shear mixing by passing it through a Comil
197 equipped with a 0.032-inch screen and 1601 impeller (impeller speed 1000 rpm).
Since the Comil has a chamber diameter of 2.2 inches, the Froude Number for this high-shear
mixing is about 125. The milled material was added to a container. A portion (approximately
3 to 10 times the weight of magnesium stearate) was added to an LDPE bag containing
the magnesium stearate. The material was manually mixed with the magnesium stearate
for approximately 30 seconds to 2 minutes, passed through a No. 20 mesh screen, and
added to the container. The mixture was blended for 5 minutes at 12 rpm using a Turbula
mixer.
[0208] Tablets were compressed using a rotary single-layer press, with 13/32" standard round
convex tooling. Tablets weighed 500 mg each, with a hardness of 12 to 16 kP.
Carr's Index Testing
[0209] The flowability for Example 14 tablet blend, and for the dispersion alone, was evaluated
using the Carr's index calculated from bulk and tap density. First, bulk density is
measured using a graduated cylinder. The empty cylinder is weighed, the material is
added, the final weight and volume are measured, and bulk density is calculated as
shown below.

[0210] To measure the tapped density, the sample in the cylinder above is placed in a VanKel
tap density instrument, set for 2000 cycles. The ending volume is recorded, and the
tapped density is calculated as shown below.

[0211] Carr's index was determined using the following equation

where ρ
B is equal to the bulk density and ρ
T is equal to the tapped density. The results are shown below in Table A.
Table A: Carr's Index
Formulation |
Carr's Index |
60%enzalutamide:HPMCAS-M SDD |
33.3% |
Example 14 tablet blend (made with colloidal silicon dioxide and high-shear mixing) |
24.2% |
[0212] The lower Carr's index of the formulation of Example 14 demonstrates improved flow
properties of the dispersion, which enables tablet formation using a direct compression
Process.
EXAMPLE 15
Human pharmacokinetics study
[0213] A randomized, two-period crossover pilot bioequivalence and food effect study was
carried out in humans. This study compared two formulations. The reference formulation
was a liquid-filled, soft gelatin capsule containing 40 mg enzalutamide dissolved
in Labrasol; four such capsules are required to deliver a 160 mg dose. The test formulation
was a tablet containing 160 mg enzalutamide in the form of a 60%A:HPMCAS-M spray-dried
dispersion. The liquid-filled capsule formulation had previously been used in clinical
studies in castration-resistant prostate cancer. The four-capsule regimen is inconvenient
because of the number of capsules that must be taken, particularly in the light of
the fact that cancer patients have to take multiple drugs. The objectives of the human
pharmacokinetics study were as follows:
- 1. To evaluate the bioequivalence of two oral formulations of enzalutamide following
a single 160 mg dose in healthy male subjects under fasted conditions;
- 2. To evaluate the bioequivalence of two oral formulations of enzalutamide following
a single 160 mg dose in healthy male subjects under fed conditions;
- 3. To assess the effects of food on the rate and extent of absorption of two oral formulations
following a single 160 mg dose in healthy male subjects;
- 4. To evaluate the safety and tolerability of two oral formulations of enzalutamide
following a single 160 mg dose in healthy male subjects under fasted or fed conditions.
Sixty healthy adult male subjects were divided into four cohorts as follows.

[0214] The fasted conditions involved an overnight fast from food (minimum 10 hours) prior
to dosing, and the fed conditions involved a standard high-fat, high-calorie meal
that was ingested within 30 minutes prior to dosing. The high-fat, high-calorie meal
was described in "US FDA Guidance for Industry: Food Effect Bioavailability and Fed
Bioequivalence Studies (December 2002)." In both the fasted and fed conditions, the
clinical research personnel administered the study medication at approximately 0800
hours with ambient temperature water to a total volume of about 240 mL. Subjects were
required to swallow the study medication whole and not chew the medication prior to
swallowing. The subjects were required to refrain from drinking beverages other than
water during the first 4 hours after dosing. Water was allowed except 1 hour pre and
post dose. Lunch was served ~ 4 hours post dose, and dinner was served ~ 9 to 10 hours
post dose.
[0215] Blood samples for pharmacokinetics determinations were collected in each period as
follows:
Day 1: pre-dose (0 hr) and post-dose 15, 30, and 45 minutes; and at 1, 2, 3, 4, 6,
8, and 12 hours;
Day 2: 0 and 12 hours;
Days 3, 5, 7, 14, 21, 28, 35, and 42: 0 hours.
[0216] Plasma isolated from the whole blood samples was analyzed for concentrations of enzalutamide
and its metabolites MDPC0001 and MDPC0002 using a sensitive, specific, and validated
assay based on liquid chromatography and tandem mass spectroscopy (LC/MS/MS). The
analytes, enzalutamide, MDPC0002, and MDPC0001 and internal standards (IS), N 13CD3
enzalutamide, MDPC0002 13CD3, and MDPC0001-13CD3 were extracted from 0.050 µL of plasma
by a liquid extraction procedure. Internal standard working solution (25.0 µL) was
added to all wells except the matrix blank. A 25.0-µL volume of acetonitrile was added
all matrix blank samples. After adding 200 µL of 5% sodium bicarbonate in water buffer
solution, the plate was vortexed for approximately 10 seconds. A Tomtec Quadra 96-well
pipettor was used to add 1.050 mL of methyl tert-butyl ether (MTBE) to all wells,
mixed, and approximately 1.00 mL of the organic layer was transferred to a clean 96-well
plate. The samples were evaporated under heated nitrogen and reconstituted with 250
µL of 0.1% formic acid in methanol/water (40:60, v/v). The plate was covered and gently
vortexed for approximately 10 seconds. The extracts were chromatographed under reverse
phase conditions on an ACE 5 C18 HPLC 5 µm, 2.1 × 30 mm column. The compounds were
detected and quantified by tandem mass spectrometry in positive ion mode on an MDS
Sciex API 3000 equipped with a Turbo IONSPRAY
® probe. Calibration curves were obtained by performing a linear regression (weighted
1/x2) of the data from the calibration standards.
[0217] A summary of pharmacokinetic parameters is presented in Table 15.1.
Table 15.1. Analysis of Formulation Bioequivalence: Geometric Mean (CV%) Plasma Enzalutamide
Pharmacokinetic Parameter Values by Treatment and Food Condition
A. Comparison of Tablet and Capsule Formulations under Fasted Conditions |
Pharmacokinetic Parameters (Units)a |
Tablet Formulation, Fasted Conditions (Test) |
Liquid-Filled Soft Gelatin Capsule Formulation, Fasted Conditions (Reference) |
Ratiob (%) |
90% Co Intervs nfidence al (%) |
Lower |
Upper |
n |
28 |
29 |
-- |
-- |
-- |
AUCDay1-7 (µg•h/mL) |
177 (24) |
185 (25) |
95 |
92 |
97 |
AUC0-t (µg•h/mL) |
255 (29) |
269 (30) |
95 |
92 |
97 |
AUC 0-inf (µg•h/mL) |
263 (28) |
278 (29) |
94 |
92 |
97 |
Cmax (µg/mL) |
2.98 (24) |
5.16 (20) |
57 |
54 |
62 |
tmaxc (h) |
4.00 (2.00 - 6.00) |
1.00 (0.75 - 3.00) |
-- |
-- |
-- |
t1/2 (days) |
3.45 (36) |
3.67 (32) |
-- |
-- |
-- |
B. Comparison of Tablet and Capsule Formulations under Fed Conditions |
Pharmacokinetic Parameters (units) |
Tablet Formulation, Fed Conditions (Test) |
Liquid-Filled Soft Gelatin Capsule Formulation, Fed Conditions (Reference |
Ratiod (%) |
90% Confidence Interval (%) |
Lower |
Upper |
n |
15 |
15 |
-- |
-- |
-- |
AUC Day1-7 (µg•h/mL) |
191 (20) |
187 (19) |
102 |
91 |
114 |
Cmax (µg/mL) |
2.96 (25) |
3.86 (35) |
77 |
65 |
91 |
tmaxc (h) |
1.00 (4.00 - 24.00) |
2.00 (0.50 - 6.00) |
-- |
-- |
-- |
n = total number of subjects contributing to the summary statistics for PK parameters
a Area under the plasma concentration-time profile from time zero to Day 7 (AUCDay1-7), AUC from time zero to the last measurable concentration (AUC0-t), AUC from time zero to infinity (AUC0-inf), maximum plasma concentration (Cmax), and time to maximum plasma concentration (tmax).
b Ratio of least squares means (Test/Reference) based on crossover-treatment bioequivalence
statistical tests.
c Median (range).
d Ratio of least squares means (Test/Reference) based on parallel-treatment bioequivalence
statistical tests. |
[0218] The analysis showed the extent of oral bioavailability for the Test and Reference
formulations to be equivalent, the AUCs for the two formulations being essentially
the same regardless of food conditions (fasted or fed).
EXAMPLE 16
[0219] After 1 part by weight of enzalutamide (MDV3100) and 3 parts by weight of hydroxypropylmethylcellulose
acetate succinate (HPMCAS-MG,Shin-Etsu Chemical Co.,Ltd.; the same was used hereafter)
were dissolved in acetone, a spray dryer (QSD-0.8-CC, GEA) was used to obtain a solid
dispersion (amorphous enzalutamide).
[0220] After the solid dispersion was mixed with calcium hydrogen phosphate hydrate, croscarmellose
sodium and magnesium stearate by mortar and pestle, the mixture was formed into tablets
by using an oil press tableting machine to obtain a tablet containing the solid dispersion
at 12kN of tableting pressure. The formulation is shown in Table 16.
EXAMPLE 17
[0221] After 1 part by weight of enzalutamide and 3 parts by weight of hydroxypropylmethylcellulose
acetate succinate were dissolved in acetone, a spray dryer (QSD-0.8-CC, GEA) was used
to obtain a solid dispersion.
[0222] After the solid dispersion was mixed with calcium hydrogen phosphate hydrate, croscarmellose
sodium and magnesium stearate, the mixture was formed into granules using dry granulation
machine (roller compactor, TF-MINI, FREUND). After the resulting granules were mixed
with croscarmellose sodium and magnesium stearate, the mixture was formed into tablets
using a rotary tableting machine to obtain a tablet containing the solid dispersion.
After tableting, the tablet was filmcoated by using filmcoating machine(HCT-30 Hi
coater 30, FREUND). The formulation is shown in Table 16.
Table 16
component |
Example 16 |
Example 17 |
Example 18 |
Example 21 |
Example 22 |
Example 23 |
enzalutamide |
80.0 |
80.0 |
80.0 |
160 |
80.0 |
80.0 |
hydroxypropyl methylcellulose acetate succinate |
240.0 |
240.0 |
160.0 |
106.7 |
400.0 |
80.0 |
hypromellose |
- |
- |
- |
- |
- |
160.0 |
calcium hydrogen phosphate hydrate |
160.6 |
160.6 |
240.6 |
- |
54.0 |
256.0 |
colloidal silicon dioxide |
- |
- |
- |
2.5 |
- |
- |
light anhydrous silicic acid |
- |
- |
- |
- |
- |
16.0 |
microcrystalline cellulose |
- |
- |
- |
94.8 |
- |
- |
lactose monohydrate |
- |
- |
- |
94.7 |
- |
- |
crospovidone |
- |
- |
- |
- |
- |
40.0 |
croscarmellose sodium |
54.0 |
54.0 |
54.0 |
40.0 |
60.0 |
160.0 |
magnesium stearate |
5.4 |
5.4 |
5.4 |
1.30 |
6.0 |
8.0 |
filmcoating agent |
|
16.2 |
|
17.5 |
18.0 |
24.0 |
total (mg) |
540.0 |
556.2 |
540.0 |
517.5 |
618.0 |
824.0 |
tablet size |
14.8mm×7.8mm |
Round, approx. 10.5mm |
14.8mm ×7.8mm |
18.3mm ×7.8mm |
EXAMPLE 18
[0223] After 1 part by weight of enzalutamide and 2 parts by weight of hydroxypropylmethylcellulose
acetate succinate were dissolved in acetone, a spray dryer (QSD-0.8-CC, GEA) was used
to obtain a solid dispersion. Further, a tablet was prepared as the same method as
Example 16. The formulation is shown in Table 16.
EXAMPLE 19
[0224] A solid dispersion, which comprises 1 part by weight of enzalutamide and 1.5 part
by weight of hydroxypropylmethylcellulose acetate succinate, was prepared as the same
method as Example 18.
EXAMPLE 20
[0225] A solid dispersion, which comprises 1 part by weight of enzalutamide and 1 part by
weight of hydroxypropylmethylcellulose acetate succinate, was prepared as the same
method as Example 18.
EXAMPLE 21
[0226] A solid dispersion, which comprises 1 part by weight of enzalutamide and 0.67 part
by weight of hydroxypropylmethylcellulose acetate succinate, was prepared as the same
method as Example 18.
[0227] The solid dispersion was mixed with colloidal silicon dioxide. Microcrystalline cellulose,
lactose monohydrate, and croscarmellose sodium are added to the mixture and blending
is continued. The mixture is then milled. After magnesium stearate is mixed with the
milled mixture, core tablets are compressed on a tablet press. The tablet was filmcoated
by using filmcoating machine.
EXAMPLE 22
[0228] After 1 part by weight of enzalutamide and 5 parts by weight of hydroxypropylmethylcellulose
acetate succinate (HPMCAS-MG, Shin-Etsu Chemical Co., Ltd) were dissolved in acetone,
a spray dryer (QSD-0.8-CC, GEA) was used to obtain a solid dispersion.
[0229] After the solid dispersion was mixed with calcium hydrogen phosphate hydrate and
croscarmellose sodium , the mixture was formed into granules using dry granulation
machine (roller compactor, TF-MINI, FREUND). After the resulting granules were mixed
with croscarmellose sodium and magnesium stearate, the mixture was formed into tablets
using a rotary tableting machine to obtain a tablet containing the solid dispersion.
After tableting, the tablet was film-coated by using film-coating machine (HCT-30
Hi coater 30, FREUND). The formulation is shown in Table 16.
EXAMPLE 23
[0230] After 1 part by weight of enzalutamide, 2 parts by weight of hypromellose, and 1
parts by weight of hydroxypropylmethylcellulose acetate succinate (HPMCAS-MG, Shin-Etsu
Chemical Co., Ltd) were dissolved in a mixture of water and acetone, a spray dryer
(QSD-0.8-CC, GEA) was used to obtain a solid dispersion.
[0231] After the solid dispersion was mixed with light anhydrous silicic acid, calcium hydrogen
phosphate hydrate and croscarmellose sodium, the mixture was formed into granules
using a dry granulation machine (roller compactor, TF-MINI, FREUND). After the resulting
granules were mixed with croscarmellose sodium , crospovidone and magnesium stearate
, the mixture was formed into tablets using a rotary tableting machine to obtain a
tablet containing the solid dispersion. After tableting, the tablet was film-coated
by using film-coating machine (HCT-30 Hi coater 30, FREUND). The formulation is shown
in Table 16.
EXAMPLE24: Solubility test
[0232] Enzalutamide and the polymer were dissolved in 2mL of 50% acetone and 50% USP 6.8
buffer. The polymer was used each of hydroxypropylmethylcellulose 2910 (TC-5E, Shin-Etsu
Chemical Co., Ltd.), hydroxypropylmethylcellulose 2910 (TC-5R, Shin-Etsu Chemical
Co., Ltd.), polyvinylpyrrolidone(Kollidon, BASF), copolyvidone (Kollidon VA-64, BASF),
hydroxypropylmethylcellulose acetate succinate(HPMCAS-MG,Shin-Etsu Chemical Co.,Ltd
) and was dissolved in 500 mL of a second fluid for disintegrating test used in a
dissolution test described in the Japanese Pharmacopoeia fifteenth edition. For comparison,
2 mL of 50% acetone and 50% USP 6.8 buffer dispersed enzalutamide without such polymers
was prepared.
[0233] To each vessel, 2 mL of a solution of enzalutamide was added, and the solubility
of enzalutamide was measured after 5 minitues. The test was carried out using 900
mL of a USP phosphate buffer (pH 6.8) as a test solution.
[0234] Each solubility is shown in Table 17.
Table 17
polymer |
solubility (µg/mL) |
hydroxypropylmethylcellulose 2910 (TC-5E) |
42.7 |
hydroxypropylmethylcellulose 2910 (TC-5R) |
39.2 |
polyvinylpyrrolidone |
40.1 |
copolyvidone |
47.4 |
hydroxypropylmethylcellulose acetate succinate |
31.1 |
without polymer |
29.0 |
EXAMPLE25: Dissolution test
[0235] A drug release property from each of the solid dispersion prepared in Examples 17
to 22 or each of the tablet prepared in Examples 16, 18 and 21 was evaluated by a
liquid-replacement dissolution test, in which a paddle method (50rpm) was started
using 300mL of 0.03N hydrochloric acid (pH1.2), and the liquid conditions for the
dissolution test were changed to pH6.8 and 900mL 30 minutes after the beginning of
the USP 34-NF 29. The drug release property was evaluated. The dissolution profiles
of the enzalutamide from the solid dispersion and the tablet are shown in Figure 3,
Figure 4, respectively.
EXAMPLE26: Evaluation of dissolution stability
[0236] The tablet obtained in Example 17 was subjected to a dissolution test to study their
dissolution immediately after formulation (at the start of storage) and after storage
at 40°C and 75% relative humidity for 1 month. The dissolution test was accomplished
by the paddle method described the United States Pharmacopoeia. A liquid-replacement
dissolution test, in which a paddle method (50rpm) was started using 300mL of 0.03N
hydrochloric acid (pH1.2), and the liquid conditions for the dissolution test were
changed to pH6.8 and 900mL 30 minutes after the beginning of the USP 34-NF 29. The
drug release property was evaluated. The dissolution profile is shown in Figure 5.
EXAMPLE27: Dog absorption test
[0237] The tablets prepared in Examples 16, 18, 21, 22 and 23 and a soft capsule for control
were orally administered to dogs. The formulation of the soft capsule is shown in
Table 18. Percentage of blood exposure of enzalutamide compared to the soft capsule,
%AUC and %C
max, were evaluated.
[0238] The test formulations were administered with 50 mL water to dogs had been fasted
over night. The test formulations were used one tablet in case of the tablet comprised
160mg enzalutamide (Example 21), two tablets in case of the tablet comprised 80mg
enzalutamide (Example 16, 18, 22 and 23), or four capsules comprised 40mg enzalutamide
for control.
[0239] After orally administered the test formulations, blood samples were collected with
time. A drug concentration in the plasma (ng/mL) was measured and calculated maximum
drug concentration(Cmax) and AUC for 168 hr (AUC 0-168h:ng*h/mL). The dogs adjusted
acid condition in the stomach were used in this test on the assumption of healthy
individuals.
[0240] %AUC and %Cmax of each formulation are shown in Table 19.
Table 18
|
soft capsule |
enzalutamide |
40.000 |
caprylocaproyl polyoxylglycerides |
904.96 |
BHA |
0.946 |
BHT |
0.095 |
total (mg) |
946.0 |
Table 19
|
Dog PK results |
|
% Cmax |
% AUC |
Example 16 |
102 |
99 |
Example 18 |
92 |
84 |
Example 21 |
72 |
70 |
Example 22 |
102 |
104 |
Example 23 |
112 |
110 |
Soft Capsule |
100 |
100 |
EXAMPLE28: X-ray analysis
[0241] The solid dispersions prepared in Examples 16 ,18, , 22 and 23and crystalline enzalutamide
were evaluated for crystallinity using X rays. In addition, the initial tablet prepared
in Example 17 and the tablet after stored at 40°C and 75% relative humidity for 1
month in Example 17
[0242] As shown in Figure 6, the solid dispersions prepared in Examples 16, 18, 22 and 23
were amorphous. As shown in Figure 7, the tablet obtained by storing the solid dispersion
prepared in Example 17 at 40°C and 75% relative humidity for 1 month in Example 17
was also amorphous.
CLAUSES:
[0243]
- 1. Amorphous enzalutamide.
- 2. Amorphous enzalutamide containing less than 20% crystalline enzalutamide.
- 3. Amorphous enzalutamide containing less than 10% crystalline enzalutamide.
- 4. Amorphous enzalutamide characterized by a powder x-ray diffraction pattern with
two broad peaks centered at 16.5±1 and 24±1 degrees 2-θ.
- 5. A pharmaceutical composition comprising amorphous enzalutamide.
- 6. The pharmaceutical composition of clause 5, wherein at least about 80 wt % of the
total amount of enzalutamide present is in an amorphous form.
- 7. The pharmaceutical composition of clause 5, further comprising a concentration
enhancing polymer.
- 8. The pharmaceutical composition of clause 7, that when administered to an aqueous
use environment, provides a maximum dissolved concentration of enzalutamide in the
use environment that is at least 5-fold that provided by a control composition consisting
essentially of an equivalent quantity of the enzalutamide in crystalline form alone.
- 9. The pharmaceutical composition of clause 7, that when administered to an aqueous
use environment, provides a concentration of the enzalutamide in the use environment
versus time area under the curve (AUC) for any period of at least 90 minutes between
the time of introduction into the use environment and about 270 minutes following
introduction to the use environment that is at least 5-fold that of a control composition,
wherein the control composition consisting essentially of an equivalent quantity of
the enzalutamide in crystalline form alone.
- 10. The pharmaceutical composition of clause 7 that, when administered to an aqueous
use environment provides a maximum dissolved concentration of enzalutamide in the
use environment that is at least 10-fold that provided by a control composition consisting
essentially of an equivalent quantity of the enzalutamide in crystalline form alone.
- 11. The pharmaceutical composition of clause 7 that, when administered to an aqueous
use environment provides a concentration of the enzalutamide in the use environment
versus time area under the curve (AUC) for any period of at least 90 minutes between
the time of introduction into the use environment and about 270 minutes following
introduction to the use environment that is at least 10-fold that of a control composition
consisting essentially of an equivalent quantity of the enzalutamide in crystalline
form alone.
- 12. The pharmaceutical composition of clause 8 or 9, wherein the aqueous use environment
consists essentially of: (a) 20 mM Na2HPO4; (b) 47 mM KH2PO4; (c) 87 mM NaCl; (d) 0.2 mM KCl; (e) 7.3 mM sodium taurocholate; (f) 1.4 mM 1-palmitoyl-2-oleyl-sn-glycero-phosphorylcholine;
(g) at pH 6.5; (h) 290 mOsm/kg; and (i) at a temperature of 37°C.; wherein the total
amount of the use environment is about 1.8 mL and the amount of enzalutamide would
have been 200 mcg/mL if it had all dissolved.
- 13. The pharmaceutical composition of clause 7, wherein at least about 80 wt % of
the total amount of enzalutamide present is in an amorphous form.
- 14. The pharmaceutical composition of clause 7, wherein the concentration enhancing
polymer is selected from the group consisting of an ionizable cellulosic polymer,
a nonionizable cellulosic polymer, and a noncellulosic polymer.
- 15. The pharmaceutical composition of clause 14, wherein the concentration enhancing
polymer is the ionizable cellulosic polymer and the ionizable cellulosic polymer is
selected from the group consisting of hydroxypropyl methyl cellulose acetate succinate,
carboxymethyl ethyl cellulose, cellulose acetate phthalate, hydroxypropyl methyl cellulose
phthalate, methyl cellulose acetate phthalate, cellulose acetate trimellitate, hydroxypropyl
cellulose acetate phthalate, hydroxypropyl methyl cellulose acetate phthalate, cellulose
acetate terephthalate, and cellulose acetate isophthalate.
- 16. The pharmaceutical composition of clause 14, wherein the concentration enhancing
polymer is the nonionizable cellulosic polymer and the nonionizable cellulosic polymer
is selected from the group consisting of hydroxypropyl methyl cellulose acetate, hydroxypropyl
methyl cellulose, hydroxypropyl cellulose, methyl cellulose, hydroxyethyl methyl cellulose,
hydroxyethyl cellulose acetate, and hydroxyethyl ethyl cellulose.
- 17. The pharmaceutical composition of clause 14, wherein the concentration enhancing
polymer is the noncellulosic polymer and the noncellulosic polymer is selected from
the group consisting of carboxylic acid functionalized polymethacrylates; carboxylic
acid functionalized polyacrylates; amine-functionalized polyacrylates; amine-functionalized
polymethacrylates; proteins; carboxylic acid functionalized starches; vinyl polymers
and copolymers having at least one substituent selected from the group consisting
of hydroxyl, alkylacyloxy, and cyclicamido; vinyl copolymers of at least one hydrophilic,
hydroxyl-containing repeat unit and at least one hydrophobic, alkyl- or aryl-containing
repeat unit; polyvinyl alcohols that have at least a portion of their repeat units
in the unhydrolyzed form; polyvinyl alcohol polyvinyl acetate copolymers; polyethylene
glycol polypropylene glycol copolymers; polyvinyl pyrrolidone; polyvinyl pyrrolidone
polyvinyl acetate copolymers, also called PVP-VA; polyethylene polyvinyl alcohol copolymers;
polyoxyethylene-polyoxypropylene block copolymers; and graft copolymers of polyethyleneglycol,
polyvinylcaprolactam and polyvinylacetate.
- 18. The pharmaceutical composition of clause 7, wherein the composition comprises
a physical mixture of amorphous enzalutamide and a concentration-enhancing polymer.
- 19. The pharmaceutical composition of clause 7, wherein the composition is in the
form of a solid amorphous dispersion of enzalutamide and a concentration-enhancing
polymer.
- 20. The pharmaceutical composition of clause 19, wherein the solid amorphous dispersion
exhibits a single glass transition.
- 21. The pharmaceutical composition of clause 20, wherein the glass transition occurs
at a temperature greater than about 40 °C.
- 22. The pharmaceutical composition of clause 20, wherein the glass transition occurs
at a temperature greater than about 60 °C.
- 23. The pharmaceutical composition of clause 19, wherein the solid amorphous dispersion
comprises at least about 20 wt % of enzalutamide.
- 24. The pharmaceutical composition of clause 23, wherein the solid amorphous dispersion
comprises between about 25% and about 75 wt % of enzalutamide.
- 25. The pharmaceutical composition of clause 23, wherein the solid amorphous dispersion
comprises between about 50% and about 70% of enzalutamide.
- 26. The pharmaceutical composition of clause 19, wherein at least about 80 wt % of
the total amount of enzalutamide present is in an amorphous form.
- 27. The pharmaceutical composition of clause 19, wherein the concentration-enhancing
polymer is selected from the group consisting of hydroxypropylmethylcellulose acetate
succinate (HPMCAS); hydroxypropylmethylcellulose (HPMC); hydroxypropylmethylcellulosephthalate
(HPMCP); polyvinylpyrrolidonevinylacetate (PVP-VA); copolymers of methacrylic acid
and methylmethacrylate in approximately a 1:1 ratio; and graft copolymers of polyethyleneglycol,
polyvinylcaprolactam, and polyvinylacetate.
- 28. The pharmaceutical composition of clause 19, comprising 60 wt% enzalutamide and
hydroxypropylmethylcellulose acetate succinate.
- 29. A tablet comprising 45-70 wt% of a solid amorphous dispersion of clause 19, the
dispersion comprising 55-65 wt% enzalutamide and hydroxypropylmethylcellulose acetate
succinate.
- 30. The tablet of clause 29, comprising 45-55 wt% of the solid amorphous dispersion.
- 31. The tablet of clause 29, comprising 53.3 wt% of the solid amorphous dispersion,
the dispersion comprising 60 wt% enzalutamide and hydroxypropylcellulose acetate succinate.
- 32. The tablet of clause 29, further comprising 6 wt% to 10 wt% of a disintegrant.
- 33. The tablet of clause 32, wherein the disintegrant is selected from the group consisting
of croscarmellose sodium and sodium starch glycolate.
- 34. The tablet of clause 31, further comprising 6 wt% to 10 wt% of a disintegrant
selected from the group consisting of croscarmellose sodium and sodium starch glycolate.
- 35. A tablet comprising 8.0 wt% croscarmellose sodium, and 53.3 wt% of a solid amorphous
dispersion comprising 60 wt% enzalutamide and hydroxypropylmethylcellulose acetate
succinate.
- 36. A process for preparing amorphous enzalutamide comprising: (a) dissolving enzalutamide
in a spray solution comprising a solvent; and (b) rapidly evaporating the solvent
from the spray solution to afford an amorphous form of enzalutamide.
- 37. The process of clause 34, in which the solvent comprises acetone, ethanol, methanol,
or combinations thereof.
- 38. A process for preparing a solid amorphous dispersion of clause 19 comprising:
(a) dissolving enzalutamide in a spray solution comprising a solvent and a concentration
enhancing polymer; and (b) rapidly evaporating the solvent from the spray solution
to afford a solid amorphous dispersion of enzalutamide and the concentration enhancing
polymer.
- 39. The process of clause 38, wherein the concentration enhancing polymer is selected
from the group consisting of an ionizable cellulosic polymer, a nonionizable cellulosic
polymer, and a noncellulosic polymer.
- 40. The process of clause 39, wherein the concentration enhancing polymer is the ionizable
cellulosic polymer and the ionizable cellulosic polymer is selected from the group
consisting of hydroxypropyl methyl cellulose acetate succinate, carboxymethyl ethyl
cellulose, cellulose acetate phthalate, hydroxypropyl methyl cellulose phthalate,
methyl cellulose acetate phthalate, cellulose acetate trimellitate, hydroxypropyl
cellulose acetate phthalate, hydroxypropyl methyl cellulose acetate phthalate, cellulose
acetate terephthalate and cellulose acetate isophthalate.
- 41. The process of clause 39, wherein the concentration enhancing polymer is the nonionizable
cellulosic polymer and the nonionizable cellulosic polymer is selected from the group
consisting of hydroxypropyl methyl cellulose acetate, hydroxypropyl methyl cellulose,
hydroxypropyl cellulose, methyl cellulose, hydroxyethyl methyl cellulose, hydroxyethyl
cellulose acetate, and hydroxyethyl ethyl cellulose.
- 42. The process of clause 39, wherein the concentration enhancing polymer is the noncellulosic
polymer and the noncellulosic polymer is selected from the group consisting of carboxylic
acid functionalized polymethacrylates; carboxylic acid functionalized polyacrylates;
amine-functionalized polyacrylates; amine-functionalized polymethacrylates; proteins;
carboxylic acid functionalized starches; vinyl polymers and copolymers having at least
one substituent selected from the group consisting of hydroxyl, alkylacyloxy, and
cyclicamido; vinyl copolymers of at least one hydrophilic, hydroxyl-containing repeat
unit and at least one hydrophobic, alkyl- or aryl-containing repeat unit; polyvinyl
alcohols that have at least a portion of their repeat units in the unhydrolyzed form;
polyvinyl alcohol polyvinyl acetate copolymers; polyethylene glycol polypropylene
glycol copolymers; polyvinyl pyrrolidone; polyvinyl pyrrolidone polyvinyl acetate
copolymers, also called PVP-VA; polyethylene polyvinyl alcohol copolymers polyoxyethylene-polyoxypropylene
block copolymers; and graft copolymers of polyethyleneglycol, polyvinylcaprolactam
and polyvinylacetate.
- 43. The process of clause 38, wherein the concentration-enhancing polymer is selected
from the group consisting of hydroxypropylmethylcellulose acetate succinate (HPMCAS);
hydroxypropylmethylcellulose (HPMC); hydroxypropylmethylcellulosephthalate (HPMCP);
polyvinylpyrrolidonevinylacetate (PVP-VA); copolymers of methacrylic acid and methylmethacrylate
(approximate 1: 1 ratio); and graft copolymers of polyethyleneglycol, polyvinylcaprolactam,
and polyvinylacetate.
- 44. The process of clause 38, wherein the solvent comprises acetone, ethanol, methanol,
or combinations thereof.
- 45. The product of the process of clause 38.
- 46. A process for preparing a solid amorphous dispersion of clause 19 comprising:
(a) blending enzalutamide with a concentration enhancing polymer to form a solid mixture,
and (b) melting the solid mixture and forcing the solid mixture through an extruder
orifice to form an extrudate, and (c) milling the extrudate.
- 47. The process of clause 46, wherein the concentration enhancing polymer is selected
from the group consisting of polyvinylpyrrolidone polyvinylacetate copolymers; hydroxypropylmethylcellulose
acetate succinate; and graft copolymers of polyethyleneglycol, polyvinylcaprolactam
and polyvinylacetate.
- 48. The product of the process of clause 46.
- 49. The product of the process of clause 46, wherein the product has a mean particle
diameter less than about 150 µm.
- 50. The product of the process of clause 46, wherein the product has a mean particle
diameter less than about 50 µm.
- 51. The pharmaceutical composition of clause 19, which when dosed at 160 mg to a cohort
of at least 24 fasted human subjects, provides a mean maximum plasma drug concentration
Cmax, during the first 24 hours after dosing, of greater than 2 µg/ml.
- 52. The pharmaceutical composition of clause 19, which when dosed to a cohort of at
least 24 fasted human subjects, provides a mean maximum plasma drug concentration
Cmax, during the first 24 hours after dosing, of greater than 12.5 ng/ml•mg, where
mg refers to the weight of the enzalutamide dose.
- 53. The pharmaceutical composition of clause 19, which when dosed at 160 mg to a cohort
of at least 24 fasted human subjects, provides a mean maximum plasma drug concentration
Cmax, during the first 24 hours after dosing, of greater than 2.5 µg/ml.
- 54. The pharmaceutical composition of clause 19, which when dosed to a cohort of at
least 24 fasted human subjects, provides a mean maximum plasma drug concentration
Cmax, during the first 24 hours after dosing, of greater than 15.6 ng/ml•mg, where
mg refers to the weight of the enzalutamide dose.
- 55. The pharmaceutical composition of clause 19, which when dosed to a cohort of at
least 24 fasted human subjects, provides a mean AUC0-7days which is greater than 1.25-fold that observed after dosing a control composition
comprising crystalline enzalutamide.
- 56. The pharmaceutical composition of clause 19, which when dosed to a cohort of at
least 24 fasted human subjects, provides a mean AUC0-7days which is greater than 2-fold that observed after dosing a control composition comprising
crystalline enzalutamide.
- 57. The pharmaceutical composition of clause 19, which when dosed at 160 mg to a cohort
of at least 24 fasted human subjects, provides a mean AUC0-7days which is greater than 150 µg•hr/mL.
- 58. The pharmaceutical composition of clause 19, which when dosed to a cohort of at
least 24 fasted human subjects, provides a mean AUC0-7days which is greater than 0.94 µg•hr/mL•mg, where mg refers to the weight of the enzalutamide
dose.
- 59. A method of treating a patient with a hyperproliferative disorder, comprising
administering to the patient a pharmaceutical composition comprising amorphous enzalutamide.
- 60. The method of clause 59 wherein the hyperproliferative disorder is selected from
the group consisting of benign prostatic hyperplasia, prostate cancer, breast cancer,
and ovarian cancer.
- 61. The method of clause 60 wherein the hyperproliferative disorder is prostate cancer
and the prostate cancer is selected from the group consisting of hormone-refractory
prostate cancer and hormone-sensitive prostate cancer.
- 62. A method of treating a patient with a hyperproliferative disorder, comprising
administering to the patient a pharmaceutical composition comprising a solid amorphous
dispersion comprising enzalutamide and a concentration-enhancing polymer.
- 63. The method of clause 62 wherein the hyperproliferative disorder is selected from
the group consisting of benign prostatic hyperplasia, prostate cancer, breast cancer,
and ovarian cancer.
- 64. The method of clause 62 wherein the hyperproliferative disorder is prostate cancer
and the prostate cancer is selected from the group consisting of hormone-refractory
prostate cancer and hormone-sensitive prostate cancer.
- 65. The method of clause 62, wherein the concentration-enhancing polymer is selected
from the group consisting of hydroxypropylmethylcellulose acetate succinate (HPMCAS);
hydroxypropylmethylcellulose (HPMC); hydroxypropylmethylcellulosephthalate (HPMCP);
polyvinylpyrrolidonevinylacetate (PVP-VA); copolymers of methacrylic acid and methylmethacrylate
(approximate 1: 1 ratio); and graft copolymers of polyethyleneglycol, polyvinylcaprolactam,
and polyvinylacetate.
- 66. A method for forming a pharmaceutical dosage form, comprising:
providing a spray-dried dispersion comprising particles wherein the particles comprise
enzalutamide and a concentration-enhancing polymer, the dispersion having an average
particle diameter of less than 50 µm;
forming an ordered mixture by high-shear mixing a blend comprising the dispersion
and a powdered glidant, the glidant having an average particle diameter of less than
or equal to one-fifth the average particle diameter of the dispersion after high-shear
mixing; and
forming the pharmaceutical dosage form by at least one of directly compressing the
ordered mixture to form a tablet and encapsulating the ordered mixture to form a capsule.
- 67. The method of clause 66, wherein the glidant in the ordered mixture has an average
particle diameter of less than or equal to one-tenth of the average particle diameter
of the dispersion in the ordered mixture after high-shear mixing.
- 68. The method of clause 66, wherein the glidant in the ordered mixture has an average
particle diameter of less than or equal to one-twentieth of the average particle diameter
of the dispersion in the ordered mixture after high-shear mixing.
- 69. The method of any of clauses 66-68, wherein the ordered mixture is an interactive
mixture.
- 70. The method of any of clauses 66-68, wherein the dispersion has an average particle
diameter of less than 30 µm prior to high-shear mixing.
- 71. The method of any of clauses 66-68, wherein the dispersion has an average particle
diameter of less than 20 µm prior to high-shear mixing.
- 72. The method of any of clauses 66-71, wherein the dispersion comprises at least
50% of the tablet by weight.
- 73. The method of any of clauses 66-72, wherein the high-shear mixing has a Froude
Number greater than or equal to 1.
- 74. The method of any of clauses 66-73, wherein the blend further comprises at least
one other excipient.
- 75. A method of preparing a pharmaceutical dosage form, comprising:
providing a spray-dried dispersion comprising particles wherein the particles comprise
enzalutamide and a concentration-enhancing polymer, the dispersion having an average
particle diameter of less than 50 µm;
forming an ordered mixture comprising the dispersion and a glidant using high-shear
mixing, the ordered mixture having a Carr's Index of less than 40%; and
forming the pharmaceutical dosage form by directly compressing the ordered mixture
to form a tablet or encapsulating the ordered mixture to form a capsule.
- 76. A method for forming a pharmaceutical dosage form, comprising:
providing a spray-dried dispersion comprising particles, the particles comprising
enzalutamide and a concentration-enhancing polymer, the dispersion having an average
particle diameter of less than 50 µm;
forming a blend comprising the dispersion and a powdered glidant using high-shear
mixing, the high-shear mixing having a Froude Number greater than 0.2; and
forming the pharmaceutical dosage form by at least one of directly compressing the
blend to form a tablet and encapsulating the blend to form a capsule.
- 77. Use of the amorphous enzalutamide of clauses 1, 2, 3, or 4 in the manufacture
of a medicament for treating a hyperproliferative disorder.
- 78. The use of clause 77, wherein the hyperproliferative disorder is selected from
the group consisting of benign prostatic hyperplasia, prostate cancer, breast cancer,
and ovarian cancer.
- 79. The use of clause 78, wherein the hyperproliferative disorder is prostate cancer
and the prostate cancer is selected from the group consisting of hormone-refractory
prostate cancer and hormone-sensitive prostate cancer.
- 80. Amorphous enzalutamide for use in treating a hyperproliferative disorder.
- 81. The amorphous enzalutamide of clause 80, wherein the hyperproliferative disorder
is selected from the group consisting of benign prostatic hyperplasia, prostate cancer,
breast cancer, and ovarian cancer.
- 82. The amorphous enzalutamide of clause 81, wherein the hyperproliferative disorder
is prostate cancer and the prostate cancer is selected from the group consisting of
hormone-refractory prostate cancer and hormone-sensitive prostate cancer.
- 83. A pharmaceutical composition comprising a solid dispersion containing enzalutamide
and a polymer.
- 84. The pharmaceutical composition according to clause 83, wherein enzalutamide is
an amorphous state.
- 85. The pharmaceutical composition according to clause 83, wherein the polymer is
a polymer or two or more polymers selected from the group consisting of polyvinyl
pyrrolidone, polyethyleneoxide, poly(vinyl pyrrolidone-co-vinyl acetate), polymethacrylates,
polyoxyethylene alkyl ethers, polyoxyethylene castor oils, polycaprolactam, polylactic
acid, polyglycolic acid, poly(lactic-glycolic)acid, lipids, cellulose, pullulan, dextran,
maltodextrin, hyaluronic acid, polysialic acid, chondroitin sulfate, heparin, fucoidan,
pentosan polysulfate, spirulan, hydroxypropyl methyl cellulose, hydroxypropyl cellulose,
carboxymethyl ethylcellulose, hydroxypropyl methylcellulose acetate succinate, cellulose
acetate phthalate, cellulose acetate trimellitate, ethyl cellulose, cellulose acetate,
cellulose butyrate, cellulose acetate butyrate, and dextran polymer derivative.
- 86. The pharmaceutical composition according to clause 85, wherein the polymer is
hydroxypropyl methylcellulose acetate succinate.
- 87. The pharmaceutical composition according to clause 83, wherein the amount of the
polymer is 0.5 to 7 parts by weight, with respect to 1 part by weight of the enzalutamide.
- 88. The pharmaceutical composition according to clause 83, wherein the amount of the
polymer is 0.5 to 3 parts by weight, with respect to 1 part by weight of the enzalutamide.
- 89. The pharmaceutical composition according to clause 83, wherein the amount of the
polymer is 3 to 5 parts by weight, with respect to 1 part by weight of the enzalutamide.
- 90. The pharmaceutical composition according to clause 83, wherein the amount of the
polymer is 3 parts by weight, with respect to 1 part by weight of the enzalutamide.
- 91. The pharmaceutical composition according to clause 83, wherein the amount of the
polymer is 5 parts by weight, with respect to 1 part by weight of the enzalutamide.
- 92. The pharmaceutical composition according to clause 83, which the solubility of
enzalutamide is twice or more compared to that of enzalutamide.
- 93. The pharmaceutical composition according to any one of clauses 83 to 92, prepared
by a process comprising:
dissolving and/or suspending the compound of enzalutamide and the polymer in a pharmaceutically
acceptable solvent, and
removing the solvent by spray drying to prepare the solid dispersion.
- 94. A process of manufacturing a pharmaceutical composition comprising a solid dispersion
containing enzalutamide and a polymer, comprising:
- (1) preparing the solid dispersion of enzalutamide and the polymer
- (2) mixing and/ or granulating the solid dispersion, and
- (3) tableting the solid dispersion.
- 95. A process of manufacturing a pharmaceutical composition according to clause 94,
comprising:
- (1) preparing a solid dispersion of enzalutamide and a polymer,
- (2) mixing the solid dispersion with one additive or two or more additives and granulating
the mixture, and
- (3) tableting the granules.